Individual
JEFFREY D DELISLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 POWER AVE, HUDSON, NY 12534-2447
(518) 828-9300
(518) 751-1038
Mailing address
350 POWER AVE, POB 635, HUDSON, NY 12534-2447
(518) 828-9300
(518) 751-1038
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1545291
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00347562
—
NY
Enumeration date
03/07/2006
Last updated
07/16/2019
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