Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anthony Vincent Lisa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982307724

Dr. Anthony Vincent Lisa, MD is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Nicholls Rd
Stony Brook, NY 11794-8460
Phone: (631) 444-2484
Fax: (631) 444-7538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1982307724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESJune 29, 2024
Certification dateJune 29, 2024

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