Individual
DR. YOLETTE LISSADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
57 LINCOLN AVE, DEER PARK, NY 11729-7015
(718) 669-0966
Mailing address
57 LINCOLN AVE, DEER PARK, NY 11729-7015
(718) 669-0966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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