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Dr. Boaz J Lissauer, MD
Plastic and Reconstructive Surgery Physician in New York, New York
NPI 1639173123

Boaz J Lissauer is a Plastic and Reconstructive Surgery Physician based in New York, NY and is specialized in Plastic and Reconstructive Surgery. Boaz J Lissauer practices in New York, NY and has the professional credentials of MD. The NPI Number for Boaz J Lissauer is 1639173123 and holds a License No. 208452 (New York).

The current practice location address for Boaz J Lissauer is 1036 Park Ave, New York, NY and can be reached out via phone at 212-717-2150 and via fax at 212-717-2154. You can also correspond with Boaz J Lissauer through the mailing address at 1036 PARK AVE, NEW YORK, NY - 10028-0971 (mailing address contact number: 212-717-2150).

Location: 1036 Park Ave, New York, NY, 10028-0971
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Provider Profile Details
NPI Number
1639173123
Provider Name
Boaz J Lissauer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1036 Park Ave, New York, NY, 10028-0971
Phone Number
212-717-2150
Fax Number
212-717-2154
Provider Enumeration Date
06/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BL0482B310 01 NY FEDERAL BLUE CROSS BLUE S
7554155 01 AETNA
BL0482B310 01 NY BLUE CROSS BLUE SHIELD
P2647045 01 OXFORD
0498250 01 NY GHI
1000035875 01 NY AFFNITY HEALTH PLAN
208452 01 NY HIP
271252B 01 NY DIVISION 1181 MAGNACARE
institution
Provider Business Practice Location Address Details
Address
1036 Park Ave
City
State
Zip
10028-0971
Phone Number
212-717-2150
Fax Number
212-717-2154
person
Provider Business Mailing Address Details
Address
1036 Park Ave
City
State
Zip
10028-0971
Phone Number
212-717-2150
Fax Number
212-717-2154
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
License No.
25MA07699200 (New Jersey)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
208452 (New York)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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