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1720043946
JORDAN M LISELLA
ALBANY, NY
NPI
1720043946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery
(Licence: MI 4301087211)
Enumeration Date
2006-04-19
Last Update Date
2008-02-28
Business Address
Dr. JORDAN M LISELLA MD
1367 WASHINGTON AVE SUITE 200
ALBANY, NY 12206-1069
Phone number: 518-489-2666
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Mailing Address
Dr. JORDAN M LISELLA MD
1367 WASHINGTON AVE SUITE 200
ALBANY, NY 12206-1069
Phone number: 518-489-2666
Copy
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