Individual provider · Type 1 NPI

Lisle Bohan

Specialist · Little Neck, NY

NPI number 1629448279 Active

Practice location

4102 247th St
Little Neck, NY 11363-1639

Call (917) 450-3266 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629448279

Lisle Bohan's National Provider Identifier is 1629448279, issued on Sep 25, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Little Neck, NY. The record was last updated on Sep 25, 2015.