Individual
DR. HANNAH ALEXANDRA LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
225 E 64TH ST STE 1, NEW YORK, NY 10065-6684
(212) 838-0940
Mailing address
225 E 64TH ST STE 1, NEW YORK, NY 10065-6684
(212) 838-0940
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
063406
NY
Other
Enumeration date
12/10/2020
Last updated
10/08/2024
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