DR. Anthony Vincent Lisa, MD
NPI #1982307724 in Stony Brook, New York
Provider Information
- NPI Number
- 1982307724
- Entity Type
- Individual
- Name
- DR. Anthony Vincent Lisa, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- MD
- Enumeration Date
- Mar 22, 2023
- Last Updated
- Jun 29, 2024
Practice Location
- Address
- 101 NICHOLLS ROAD
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-8460
- Phone
- (631) 444-2484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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