Search › New York › 207R00000X
Kelly Lisciandro, DO
NPI 1689674814 · on the registry since 2005 · sole proprietor
Practice
- Address
- 481 Penbrooke Drive
Suite 2
Penfield, NY 14526 - Phone
- (585) 364-0025
- Fax
- (585) 364-0024
- Organisation at this address
- Kolb Corporation
Petal Psychiatry, Np, Pllc
Goodbody Physical Therapy & Chiropractic PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-16
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