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1629302658
DIANA ILYASOVA
BRONX, NY
NPI
1629302658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NY TUV007417)
Enumeration Date
2009-09-23
Last Update Date
2021-03-17
Business Address
Dr. DIANA ILYASOVA O.D.
731 LYDIG AVE
BRONX, NY 10462-2103
Phone number: 718-829-2160
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Mailing Address
Dr. DIANA ILYASOVA O.D.
7511 169TH ST
FRESH MEADOWS, NY 11366-1337
Phone number:
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