NPI 1013291293

Liondale Management INC

Organisation General Practice Physician New York, NY

Practice location

Address: 10 W 74th St APT 1d, New York, NY 10023-2404
Phone: (212) 579-9136
Fax: (212) 579-6917

Authorised official

Name: Lionell Bissoon
Title: Provider
Phone: (212) 579-9136

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 193423 (NY)

Other General Practice providers in New York →

Registry record

NPI: 1013291293
Entity type: Organization
NPI issued: 5 Oct 2011
Record last updated: 5 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.