DR. DMITRY LISENENKOV, M.D.

Anesthesiology - Critical Care Medicine

Active Individual
NPI: 1679736953

Practice Address

475 SEAVIEW AVE
CARDIOTHORACIC ICU
Staten Island, NY 10305

Phone: (718) 775-7770

Specialties

Specialty Code Primary License
Internal Medicine - Critical Care Medicine 207RC0200X No 249407 (NY)
Anesthesiology - Critical Care Medicine 207LC0200X Yes 25MA11111600 (NJ)

Frequently Asked Questions

NPI 1679736953 is the National Provider Identifier for DR. DMITRY LISENENKOV, M.D., a Anesthesiology - Critical Care Medicine provider located in Staten Island, NY. This NPI was enumerated on July 7, 2008.
DR. DMITRY LISENENKOV, M.D. practices at 475 SEAVIEW AVE, CARDIOTHORACIC ICU, Staten Island, NY 10305.

Quick Facts

NPI
1679736953
Type
Individual
Enumerated
Jul 7, 2008
Last Updated
May 2, 2024

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