DR. Boaz J Lissauer, MD

NPI #1639173123 in New York, New York

Provider Information

NPI Number: 1639173123
Entity Type: Individual
Name: DR. Boaz J Lissauer, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jun 13, 2005
Last Updated: Jun 25, 2009

Practice Location

Address: 1036 PARK AVE
Address 2: SUITE 1C
City: New York
State: New York
ZIP Code: 10028-0971
Phone: (212) 717-2150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X

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