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1225708944
INNA ILYASOVA
BRONX, NY
NPI
1225708944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NY 009470)
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
Dr. INNA ILYASOVA
731 LYDIG AVE
BRONX, NY 10462-2103
Phone number: 718-829-2160
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Mailing Address
Dr. INNA ILYASOVA
7739 169TH ST
FRESH MEADOWS, NY 11366-1307
Phone number: 917-254-0847
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