Provider Demographics
NPI:1619059391
Name:RYSZ, LILI SR (MD)
Entity Type:Individual
Prefix:DR
First Name:LILI
Middle Name:
Last Name:RYSZ
Suffix:SR
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 1:259 W 10TH ST
Mailing Address - Street 2:APT 6H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2510
Mailing Address - Country:US
Mailing Address - Phone:212-929-5063
Mailing Address - Fax:718-918-7885
Practice Address - Street 1:230 CENTRAL PARK W
Practice Address - Street 2:SUITE B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6029
Practice Address - Country:US
Practice Address - Phone:212-721-3800
Practice Address - Fax:718-918-7885
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1623092084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry