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Individual

DR. YAAKOV Y LISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
185 ROUTE 312, BREWSTER, NY 10509-2337
(845) 278-7000
Mailing address
110 S BEDFORD RD, MOUNT KISCO, NY 10549-3446
(914) 241-1050

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
269206
NY
207RN0300X
Nephrology Physician
MD456401
PA

Other

Enumeration date
03/23/2011
Last updated
10/31/2016
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