ERIC LIS (NPI# 1366420713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366420713 |
| Entity Type | Individual |
| Full Name | ERIC LIS |
| Credential | MD |
| Practice Address |
1275 York Ave New York NY 10021-6007 |
| Mailing Address |
633 3rd Ave Box 3 New York NY 10017-6706 |
| Practice Telephone | 2126392000 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2015-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
199037 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840154 | Eric Michael Lis | Technician | 24 Mcginnis Way, Lincoln, ND 58504-9303 | 2020-10-30 |
| 1790914489 | Eric Ronald Lis | Pharmacist | 600 Highland Ave # F6133, Compliance Mc 2433, Madison, WI 53792-0001 | 2009-07-02 |
| Street Address |
1275 YORK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742789 | Jean Marie Torrisi | Radiology | 1275 York Ave, New York, NY 10021-6007 | 2005-06-30 |
| 1992306856 | Brittany Kenney | Registered Nurse | 1275 York Ave, New York, NY 10065-6007 | 2020-11-05 |
| 1952901084 | Catherine Andrea Kobza | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2020-10-28 |
| 1174122659 | Katarina Vucetic | Pharmacist | 1275 York Ave, New York, NY 10065-6007 | 2020-10-26 |
| 1952918203 | Joao Vicente Machado Horvat | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2020-09-29 |
| 1215544572 | Natally De Souza Maciel Rocha Horvat | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2020-09-29 |
| 1922615665 | Warren Benjamin Fingrut | Internal Medicine | 1275 York Ave, New York, NY 10065-6007 | 2020-09-27 |
| 1053928747 | Nadezhda Solovyeva | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2020-09-26 |
| 1013523315 | Kayra Diaz | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2020-09-22 |
| 1093320020 | Julienne Szabo | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720451 | Christophe Cloutier Lambert | Radiology | 1233 York Ave Apt 6m, New York, NY 10065-6342 | 2019-09-23 |
| 1437702727 | Pamela Ines Causa Andrieu | Radiology | 1233 York Ave Apt 19l, New York, NY 10065-6342 | 2019-07-16 |
| 1689231235 | Midtown Diagnostic Group, Inc | Radiology | 353 W 48th St Ste 450, New York, NY 10036-1324 | 2019-05-20 |
| 1659841013 | Midtown West Radiology P.C. | Radiology | 35 Seacoast Terrace, #20n, New York, NY 11235 | 2018-11-28 |
| 1407380272 | Joseph Charles Herring | Radiology | 506 Lenox Ave # Mlk6201, New York, NY 10037-1802 | 2017-04-18 |
| 1639542939 | Kolb Radiology P.C. | Radiology | 307 E 60th St, New York, NY 10022-1505 | 2015-11-09 |
| 1346645652 | Srm Radiology Associates PC | Radiology | 639 W End Ave, #pha, New York, NY 10025-7343 | 2014-10-29 |
| 1366882425 | Christopher John Burke | Radiology | 545 1st Ave # Gbhc124, New York, NY 10016-6401 | 2013-07-03 |
| 1356784490 | Jeffrey Michael Gnerre | Radiology | 150 E 42nd St Fl 4, New York, NY 10017 | 2013-04-08 |
| 1205179686 | James Bai | Radiology | 660 1st Ave Fl 1, New York, NY 10016-3295 | 2013-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.