Individual
LISA SATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 241-6187
Mailing address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 241-6187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208000000X
Pediatrics Physician
145152
NY
2080P0210X
Pediatric Nephrology Physician
Primary
145152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145152
LICENSE
NY
Enumeration date
03/01/2006
Last updated
03/26/2013
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