Lianne Deserres
Pediatric Otolaryngology Plastic Surgeon (Head & Neck)
19 Bradhurst Ave Ste 3600s
Hawthorne
, New York 10532-2140
Lianne Deserres
Pediatric Otolaryngology Plastic Surgeon (Head & Neck)
19 Bradhurst Ave Ste 3600s
Hawthorne
, New York 10532-2140
(914) 909-9028
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About
Features
Specialties
- Pediatric Otolaryngology
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Lianne Deserres
- 19 Bradhurst Ave Ste 3100n
- Hawthorne, NY
- Zip : 10532-2140
- Fax : (914) 909-9028
- Phone : (914) 909-9018
Second Address
- Lianne Deserres
- 19 Bradhurst Ave Ste 3600s
- Hawthorne, NY
- Zip : 10532-2140
- Phone : (914) 693-7636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YP0228X | Pediatric Otolaryngology | 212745 | NY |
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 212745 | NY |
National Provider Identifier
| NPI | 1144336645 |
|---|---|
| Provider Name | Lianne Deserres |
| First Address | Hawthorne, NY 10532-2140 |
| Second Address | Hawthorne, NY 10532-2140 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 23/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1932723 | (05) | NY |
| F73692 | (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.