Jordan Lissauer Orthodontics Pc | |
3767 Hylan Blvd Staten Island NY 10308-3505 | |
(718) 966-2720 | |
Not Available |
Full Name | Jordan Lissauer Orthodontics Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3767 Hylan Blvd, Staten Island, New York |
Authorized Official Name and Position | Jordan Lissauer (PRESIDENT) |
Authorized Official Contact | 5613244030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jordan Lissauer Orthodontics Pc 3767 Hylan Blvd Staten Island NY 10308-3505 Ph: () - | Jordan Lissauer Orthodontics Pc 3767 Hylan Blvd Staten Island NY 10308-3505 Ph: (718) 966-2720 |
NPI Number | 1851945794 |
---|---|
Provider Enumeration Date | 07/29/2019 |
Last Update Date | 07/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851945794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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