Individual
DR. MARK C LISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-1948
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-1948
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
272207-01
NY
2085R0202X
Diagnostic Radiology Physician
272207-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348783
—
NJ
05
—
03570761
—
NY
Enumeration date
04/28/2008
Last updated
12/22/2023
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