Delisle, Jeffrey D

Delisle, Jeffrey D is an individual health care provider with primary practice located at 350 Power Ave , Hudson NY 12534-2447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Delisle, Jeffrey D can be contacted via phone (518) 828-9300.

Contact Information

Primary practice address
350 Power Ave Hudson NY 12534-2447
Phone: (518) 828-9300
Fax: (518) 751-1038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1545291 New York

Profile Details

NPI number 1629045802
LBN Legal business name Delisle, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 16th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629045802 NPPES
New York MEDICAID 00347562

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