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Dr. Jordan M Lisella, MD
Orthopedic Foot and Ankle Surgery Physician in Albany, New York
NPI 1720043946

Jordan M Lisella is a Orthopedic Foot and Ankle Surgery Physician based in Albany, NY and is specialized in Foot and Ankle Surgery. Jordan M Lisella practices in Albany, NY and has the professional credentials of MD. The NPI Number for Jordan M Lisella is 1720043946 and holds a License No. 4301087211 (New York).

The current practice location address for Jordan M Lisella is 1367 Washington Ave, Albany, NY and can be reached out via phone at 518-489-2666 and via fax at 518-489-5933.

Location: 1367 Washington Ave, Albany, NY, 12206-1069
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Provider Profile Details
NPI Number
1720043946
Provider Name
Jordan M Lisella
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1367 Washington Ave, Albany, NY, 12206-1069
Phone Number
518-489-2666
Fax Number
518-489-5933
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02865736 05 NY
institution
Provider Business Practice Location Address Details
Address
1367 Washington Ave
City
State
Zip
12206-1069
Phone Number
518-489-2666
Fax Number
518-489-5933
person
Provider Business Mailing Address Details
Address
1367 Washington Ave
City
State
Zip
12206-1069
Phone Number
518-489-2666
Fax Number
518-489-5933
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
License No.
4301087211 (Michigan)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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