IndividualActive
Lisle Bohan
NPI 1629448279 · Specialist · Little Neck, NY
Lisle Bohan is a Specialist provider in Little Neck, NY (NPI 1629448279).
Provider details
- NPI number
- 1629448279
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4102 247th St
Little Neck, NY 11363-1639
Phone: (917) 450-3266
Street-level locationGet directions
Mailing address
4102 247th St
Little Neck, NY 11363-1639
Registry dates
- Enumerated
- 2015-09-25
- Last updated
- 2015-09-25
Frequently asked questions
- What is Lisle Bohan's NPI number?
- Lisle Bohan's National Provider Identifier (NPI) is 1629448279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisle Bohan's specialty?
- Lisle Bohan is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Lisle Bohan located?
- Lisle Bohan's practice location on file with NPPES is 4102 247th St, Little Neck, NY 11363-1639.
- What is Lisle Bohan's phone number?
- The practice phone number listed in the NPPES registry for Lisle Bohan is (917) 450-3266.
- Is Lisle Bohan's NPI active?
- Yes — Lisle Bohan's NPI (1629448279) is active in the NPPES registry as of the last update on 2015-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.