Lisa Rousso (NPI# 1235385618, PAC ID# 8527007129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1235385618 |
| PAC ID by PECOS | 8527007129 |
| Professional Enrollment ID | I20050502001352 |
| Full Name | Lisa Rousso |
| Organization Legal Name | NY DIABETES AND ENDOCRINOLOGY CARE PC |
| Address |
6271 Woodhaven Blvd Rego Park NY 11374-2832 |
| Phone Number | 7183359000 |
| Gender | F |
| Credential | MNT |
| Graduation Year | 1996 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 6305145921 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6271 Woodhaven Blvd, Rego Park, NY 11374-2832 | 7183359000 | NY DIABETES AND ENDOCRINOLOGY CARE PC |
| Organization Legal Name | NY DIABETES AND ENDOCRINOLOGY CARE PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rakhil Rubinova | Endocrinology | Ny Diabetes and Endocrinology Care PC | 6271 Woodhaven Blvd, Rego Park, NY 11374-2832 |
| Street Address |
6271 WOODHAVEN BLVD |
| City | REGO PARK |
| State | NY |
| Zip | 11374-2832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rakhil Rubinova | Endocrinology | Ny Diabetes and Endocrinology Care PC | 6271 Woodhaven Blvd, Rego Park, NY 11374-2832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svetlana Kachan | Clinical Social Worker | Isak Isakov Medical, PC | 65 -36, Suite 1p, Rego Park, NY 11374 |
| Leonid Izrayelit | Psychiatry | 6818 Austin St, Rigo Park, NY 11374 | |
| Ilana S Friedman | Clinical Psychologist | 61 -80 Woodhaven Blvd, Rego Park, NY 11374 | |
| Amy Y Lai | Obstetrics/gynecology | Tjh Medical Services PC | 9229 Queens Blvd, Rego Park, NY 11374-1056 |
| Kenneth R Fretwell | General Surgery | Tjh Medical Services PC | 9229 Queens Blvd, Rego Park, NY 11374-1056 |
| Ghulam Dastgir | Ophthalmology | Allen J Fishman Md PC | 9229 Queens Blvd, 2i, Rego Park, NY 11374-1072 |
| Michael Shy | Urology | 9229 Queens Blvd, 2b, Rego Park, NY 11374-1072 | |
| Tanesha Lawrence | Family Medicine | 9229 Queens Blvd, Suite 2c, Rego Park, NY 11374-1072 | |
| Allen J Fishman | Ophthalmology | Allen J Fishman Md PC | 9229 Queens Blvd, 2i, Rego Park, NY 11374-1072 |
| Matthew Nobe | Ophthalmology | Allen J Fishman Md PC | 9229 Queens Blvd, 2i, Rego Park, NY 11374-1072 |
| Find all physicians in zip 11374 | |||
| City | REGO PARK |
| Zip Code | 11374 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | REGO PARK + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.