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Contact Information

ADAM J LISH, MD
1901 UTICA AVE
BROOKLYN, NY11234
 Phone: 718-968-8700
 Fax: 718-968-8743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ADAM J LISH · (Male)

NPI # 1083711766
Status Active
Credentials MD
Entity Individual
Enumeration date 09/17/2006
Last updated 04/25/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 189142
  • NY Medicaid 01465690
  • NY Other 0147830001 NHIC
  • NY Other 180029303 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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