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1811948052
OLEG LISITSYN
BRONX, NY
NPI
1811948052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NY 006388)
Enumeration Date
2006-05-12
Last Update Date
2021-04-06
Business Address
OLEG LISITSYN OD
731 LYDIG AVE
BRONX, NY 10462-2103
Phone number: 718-829-2160
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Mailing Address
OLEG LISITSYN OD
25 ROME AVE
STATEN ISLAND, NY 10304-4317
Phone number: 718-442-1981
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