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:
Health care specialties
| Specialty | Code | License # | 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 | Aug 3rd, 2026 - about 2 months 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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