Dr. Richard Dean Lisman
Ophthalmologist
635 Park Ave
New York
, New York 10021-6546
Dr. Richard Dean Lisman
Ophthalmologist
635 Park Ave
New York
, New York 10021-6546
(212) 585-1408
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Richard Dean Lisman
- 635 Park Ave
- New York, NY
- Zip : 10021-6546
- Fax : (212) 585-1408
- Phone : (212) 585-1405
Second Address
- Dr. Richard Dean Lisman
- 635 Park Ave
- New York, NY
- Zip : 10021-6546
- Fax : (212) 585-1408
- Phone : (212) 585-1405
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207W00000X | Ophthalmologist | 131130 | NY |
National Provider Identifier
| NPI | 1043219900 |
|---|---|
| Provider Name | Dr. Richard Dean Lisman |
| First Address | New York, NY 10021-6546 |
| Second Address | New York, NY 10021-6546 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 29/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B13181 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.