Lissauer, Jordan

Lissauer, Jordan is an individual health care provider with primary practice located at 3767 Hylan Blvd , Staten Island NY 10308-3505. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Lissauer, Jordan can be contacted via phone (718) 966-2720.

Contact Information

Primary practice address
3767 Hylan Blvd Staten Island NY 10308-3505
Phone: (718) 966-2720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 055112 New York

Profile Details

NPI number 1730467564
LBN Legal business name Lissauer, Jordan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2011
Last updated Apr 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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