Provider Demographics
NPI:1104098763
Name:HOCHBERG, LISA KAREN (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:KAREN
Last Name:HOCHBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-6146
Mailing Address - Country:US
Mailing Address - Phone:718-596-1606
Mailing Address - Fax:718-596-1683
Practice Address - Street 1:253 CLINTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-6146
Practice Address - Country:US
Practice Address - Phone:718-596-1606
Practice Address - Fax:718-596-1683
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155438-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine