Provider Demographics
NPI:1932529302
Name:SCHLEIFER, LISA MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:SCHLEIFER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1396 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4406
Mailing Address - Country:US
Mailing Address - Phone:212-249-5699
Mailing Address - Fax:
Practice Address - Street 1:1396 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4406
Practice Address - Country:US
Practice Address - Phone:212-249-5699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist