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Individual

DR. ANDREE DE LISSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
24 HOSPITAL AVE, DANBURY HOSPITAL PSYCHIATRY, DANBURY, CT 06810
(914) 907-3127
Mailing address
29 DOGWOOD CT, GOLDENS BRIDGE, NY 10526-1115

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
4626
CT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
004626
CT

Other

Enumeration date
07/26/2016
Last updated
06/18/2018
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