Provider Demographics
NPI:1437653821
Name:SPERRY, LUISA ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:LUISA
Middle Name:ELIZABETH
Last Name:SPERRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE GUSTAVE L. LEVY PLACE
Mailing Address - Street 2:BOX 1118
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-6609
Mailing Address - Fax:212-241-8445
Practice Address - Street 1:ONE GUSTAVE L. LEVY PLACE
Practice Address - Street 2:#1118
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-6609
Practice Address - Fax:212-241-8445
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY310273207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program