Dr. Lison Gagne, M.D.
Psychiatry & Neurology, Psychiatry in New York, NY. Individual provider (NPI-1).
NPI number1730438177
StatusActive
Last updated in NPPESAug 30, 2012
Details
- NPI
- 1730438177
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lison Gagne
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2012
- Last updated
- Aug 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 266302 | NY | Yes |
Practice location
198 East 121st StreetNew York, NY 10035
Phone 202-803-2719
Mailing address
198 East 121st StreetNew York, NY 10035
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