National Provider Identifier Database

DMITRY LISENENKOV, MD – NPI #1679736953
Critical Care Medicine

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

DMITRY LISENENKOV, MD
475 SEAVIEW AVE
CARDIOTHORACIC ICU
STATEN ISLAND, NY10305
Phone: 718-775-7770
Fax:
Website:
Specialty Taxonomy Code
* Critical Care Medicine 207LC0200X
Critical Care Medicine 207RC0200X

* Indicates primary specialty

NPI Profile & details for DMITRY LISENENKOV

NPI Number 1679736953
Credentials MD
Entity Individual
Enumeration date 07/07/2008
Last updated 05/02/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MA11111600
  • NY License #: 249407
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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