Search › New York › 1223D0004X
Lisa Jedacek, DMD, MPH
NPI 1528650710 · on the registry since 2021
Practice
- Address
- 1400 Pelham Pkwy S
Bronx, NY 10461 - Phone
- (718) 918-5000
- Organisation at this address
- Ji Yoo Lee
Adult Care Services
Ihs Of New York Inc
Jacobi Medical Center
Jacobi Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,513
Additional practice sites
- 1516 Nj-138, Wall Township, NJ
- 1700 Monroe St, Endicott, NY
- 378 Atlantic Ave, Brooklyn, NY
- 378 Atlantic Ave, Brooklyn, NY
- 5002 Airport Rd Nw # 30, Roanoke, VA
- 1817 Mayflower Ave, Bronx, NY
- 11934 W Broad St Ste 120, Henrico, VA
- 4749 S Baldwin Rd, Lake Orion, MI
- 2165 Cunningham Dr, Hampton, VA
Registry record
- Primary taxonomy
- 1223D0004X
1223D0004X
- Also registered as
- 122300000X
122300000X
1223D0004X
1223D0004X
122300000X
122300000X
122300000X
1223D0004X - Licence states on file
- NJ, VA, MA, MI, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York