Provider Demographics
NPI:1871866244
Name:ARNOLD LISIO, M.D., P.C.
Entity Type:Organization
Organization Name:ARNOLD LISIO, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:LISIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-249-8535
Mailing Address - Street 1:903 PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0338
Mailing Address - Country:US
Mailing Address - Phone:212-249-8535
Mailing Address - Fax:212-772-3753
Practice Address - Street 1:903 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0338
Practice Address - Country:US
Practice Address - Phone:212-249-8535
Practice Address - Fax:212-772-3753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty