Organization Active NPI

Liondale Management Inc

  • General Practice Physician
  • New York, NY
National Provider Identifier
1013291293
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
193423 Issued in NY
Legal business name
LIONDALE MANAGEMENT INC
Practice address
10 W 74TH St Apt 1D
New York, NY 10023-2404
Phone
(212) 579-9136
Fax
(212) 579-6917
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lionell Bissoon, DO
Title
Provider
Phone
(212) 579-9136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 193423 NY Primary

Addresses

Primary practice location

10 W 74TH St Apt 1D
New York, NY 10023-2404

Mailing address

10 W 74TH St Apt 1D
New York, NY 10023-2404
Phone (212) 579-9136

National Provider Directory

National Provider Directory

Locations

10 W 74th St
Apt 1D
New York, NY 10023
Phone (212) 787-1877

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1013291293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W 74TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232404",
            "telephone_number": "212-579-9136",
            "fax_number": "212-579-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W 74TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232404",
            "telephone_number": "212-579-9136",
            "fax_number": "212-579-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONDALE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "BISSOON",
        "authorized_official_first_name": "LIONELL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "212-579-9136",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "193423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.