Jordan Lissauer Orthodontics Pc - Dental Clinic in Staten Island, NY

Jordan Lissauer Orthodontics Pc is a dental clinic (Dentist - Orthodontics And Dentofacial Orthopedics) in Staten Island, New York. The current practice location for Jordan Lissauer Orthodontics Pc is 3767 Hylan Blvd, Staten Island, New York. For appointments, you can reach them via phone at (718) 966-2720. The mailing address for Jordan Lissauer Orthodontics Pc is 3767 Hylan Blvd, Staten Island, New York and phone number is () -.

Jordan Lissauer Orthodontics Pc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1851945794. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (718) 966-2720.

Contact Information

Jordan Lissauer Orthodontics Pc
3767 Hylan Blvd
Staten Island
NY 10308-3505
(718) 966-2720
Not Available

Dental Care Clinic Profile

Full NameJordan Lissauer Orthodontics Pc
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location3767 Hylan Blvd, Staten Island, New York
Authorized Official Name and PositionJordan Lissauer (PRESIDENT)
Authorized Official Contact5613244030
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1851945794
Provider Enumeration Date07/29/2019
Last Update Date07/29/2019

Medical Identifiers

Medical identifiers for Jordan Lissauer Orthodontics Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851945794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics (* (Not Available))Primary

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