Provider Demographics
NPI:1457397861
Name:LISKER, JAY J (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:J
Last Name:LISKER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:225 COMMUNITY DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5506
Mailing Address - Country:US
Mailing Address - Phone:516-504-0474
Mailing Address - Fax:516-504-0477
Practice Address - Street 1:225 COMMUNITY DR
Practice Address - Street 2:SUITE 130
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5506
Practice Address - Country:US
Practice Address - Phone:516-504-0474
Practice Address - Fax:516-504-0477
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2011-01-17
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Provider Licenses
StateLicense IDTaxonomies
NY227230207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease