LISA JOY UNDERLAND

BRONX, NY
NPI1598083974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: NY  60 283152)
Additional Taxonomies208000000X Pediatrics
(Licence: TX  BP10037148)
2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: TX  P6292)
Enumeration Date2010-05-11
Last Update Date2016-06-27
Business Address
-- LISA JOY UNDERLAND DO
111 EAST 210TH ST
BRONX, NY 10467
Phone number: 800-636-6683
Mailing Address
-- LISA JOY UNDERLAND DO
3411 WAYNE AVE
BRONX, NY 10467-2509
Phone number: 832-867-4580