Individual
LUISA ISABEL MISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE FL 4, NEW YORK, NY 10029-6508
(212) 241-4901
Mailing address
1468 MADISON AVE FL 4, NEW YORK, NY 10029-6508
(212) 241-4901
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
317572
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2018
Last updated
08/10/2023
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