Doctor Name: | CORINNA PANLILIO SISON |
NPI Number: | 1336460989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 275870 |
Business Practice Address: | 515 E 72nd St Apt 20k New York, NY - 100214032 |
Business Phone Number: | 7327353868 |
Business Fax Number: | |
Mailing Address: | 515 E 72nd St, Apt 20k NEW YORK |
State: | NY |
Postal Code: | 100214032 |
Phone Number: | 7327353868 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2010 |
NPI Last Update Date: | 02/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 275870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |