MANHATTAN OCULOFACIAL PLASTIC SURGERY, PC
Medical Practice at 72 St, New York, NY

License number
New York 208452
Category
Medical Practice
Type
Ophthalmology
Owner
Name: DR. BOAZ JACOB LISSAUER MD
Title: OWNER
Phone: (212) 717-2150
Address
Address
475 E 72Nd St, New York, NY 10021
National Provider ID: 1942412572
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MANHATTAN OCULOFACIAL PLASTIC SURGERY, PC

1036 Park Ave #1C, New York, NY 10028

Industry:
Medical Doctor's Office
Doing business as:
Manhattan Oculofacial Plastic
Registration:
Sep 7, 2004
State ID:
3099079
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Owners:
Boaz J Lissauer, M.d, 1036 Park Ave #1C, New York, NY 10028 (Physical),Sarah Augustine (Office Manager),Boaz Lissauer (Medical Doctor, Ocular Plastic Surgeon),...

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