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1457586257
VIKTORIYA LASIYCHUK
BRONX, NY
NPI
1457586257
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Former Name
VIKTORIYA SOBOL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013228)
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
-- VIKTORIYA LASIYCHUK PA
111 E 210TH ST SILVER ZONE - 6TH FLOOR
BRONX, NY 10467-2401
Phone number: 718-920-2961
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Mailing Address
-- VIKTORIYA LASIYCHUK PA
14 BUTLER PL
STATEN ISLAND, NY 10305-1805
Phone number: 718-556-5348
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