Provider Demographics
NPI:1427382589
Name:LISTON, CONOR MICHAEL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CONOR
Middle Name:MICHAEL
Last Name:LISTON
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST # 140
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-3720
Mailing Address - Fax:212-746-8886
Practice Address - Street 1:525 E 68TH ST # 140
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-3720
Practice Address - Fax:212-746-8886
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program