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Dr. Dmitry Lisenenkov, MD
Critical Care Medicine (Anesthesiology) Physician in Staten Island, New York
NPI 1679736953

Dmitry Lisenenkov is a Critical Care Medicine (Anesthesiology) Physician based in Staten Island, NY and is specialized in Critical Care Medicine. Dmitry Lisenenkov practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Dmitry Lisenenkov is 1679736953 and holds a License No. 249407 (New York).

The current practice location address for Dmitry Lisenenkov is 475 Seaview Ave, Staten Island, NY and can be reached out via phone at 718-775-7770.

Location: 475 Seaview Ave, Staten Island, NY, 10305-3436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679736953
Provider Name
Dmitry Lisenenkov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
475 Seaview Ave, Staten Island, NY, 10305-3436
Phone Number
718-775-7770
Fax Number
Provider Enumeration Date
07/07/2008
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
475 Seaview Ave
City
Staten Island
State
New York
Zip
10305
Phone Number
718-775-7770
Fax Number
person
Provider Business Mailing Address Details
Address
475 Seaview Ave
City
Staten Island
State
New York
Zip
10305
Phone Number
718-775-7770
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Critical Care Medicine
Taxonomy
207LC0200X
License No.
25MA11111600 (New Jersey)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
249407 (New York)
Definition
An internist who 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.
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