person
Dr. Lisa Kim Ellman-grunther, MD
Allergy Physician in New York, New York
NPI 1336107325

Lisa Kim Ellman-grunther is an Allergy Physician based in Fairfield, NY and is specialized in Allergy. Lisa Kim Ellman-grunther practices in New York, NY and has the professional credentials of MD. The NPI Number for Lisa Kim Ellman-grunther is 1336107325 and holds a License No. 25MMAO7471600 (New York).

The current practice location address for Lisa Kim Ellman-grunther is 150 Broadway Rm 713, New York, NY and can be reached out via phone at 646-854-3002 and via fax at 646-493-7299.

Location: 150 Broadway Rm 713, New York, NY, 07004-7205
person
Provider Profile Details
NPI Number
1336107325
Provider Name
Lisa Kim Ellman-grunther
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
150 Broadway Rm 713, New York, NY, 07004-7205
Phone Number
646-854-3002
Fax Number
646-493-7299
Provider Enumeration Date
05/02/2006
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
150 Broadway Rm 713
City
State
Zip
10038-4334
Phone Number
646-854-3002
Fax Number
646-493-7299
person
Provider Business Mailing Address Details
Address
150 Broadway Rm 713
City
State
Zip
10038-4334
Phone Number
646-854-3002
Fax Number
646-493-7299
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
25MMAO7471600 (New Jersey)
Definition
Definition to come...
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