IndividualActive
Dmitry Lisenenkov, M.D.
NPI 1679736953 · Critical Care Medicine (Anesthesiology) Physician · Staten Island, NY
Provider details
- NPI number
- 1679736953
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 249407 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
475 Seaview Ave
Cardiothoracic Icu
Staten Island, NY 10305
Phone: (718) 775-7770
Approximate (ZIP-level) locationGet directions
Mailing address
475 Seaview Ave
Staten Island, NY 10305-3436
Registry dates
- Enumerated
- 2008-07-07
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.