Provider Demographics
NPI:1821174269
Name:PIAZZA, LISA A (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:A
Last Name:PIAZZA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1125 PARK AVE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1243
Mailing Address - Country:US
Mailing Address - Phone:212-289-1250
Mailing Address - Fax:917-591-8661
Practice Address - Street 1:1125 PARK AVE
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1243
Practice Address - Country:US
Practice Address - Phone:212-289-1250
Practice Address - Fax:917-591-8661
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2012-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1921102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry