Provider Demographics
NPI:1902350671
Name:JANKELSON, LIOR
Entity Type:Individual
Prefix:
First Name:LIOR
Middle Name:
Last Name:JANKELSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LIOR
Other - Middle Name:
Other - Last Name:JANKELSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD PHD
Mailing Address - Street 1:560 1ST AVE
Mailing Address - Street 2:CARDIAC EP LAB
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:347-414-0187
Mailing Address - Fax:
Practice Address - Street 1:560 1ST AVE
Practice Address - Street 2:CARDIAC EP LAB
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:347-414-0187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292946207RC0001X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology