| NPI | 1215441423 |
|---|---|
| Doing Business As | LISA ROSE DURSO, MD PLLC |
| Entity Type | Organization |
| Authorized Contact | GIACINTA VITIELLO Administrative Assistant 646-828-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-06-16 |