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1114447588
ELENA LISSINA
BRONX, NY
NPI
1114447588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 0601311)
Enumeration Date
2017-06-26
Last Update Date
2019-10-25
Business Address
Dr. ELENA LISSINA DDS, PhD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-6039
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Mailing Address
Dr. ELENA LISSINA DDS, PhD
352 W 117TH ST APT 4B
NEW YORK, NY 10026-1558
Phone number: 917-507-4243
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