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1982307724
ANTHONY VINCENT LISA
STONY BROOK, NY
NPI
1982307724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-22
Last Update Date
2024-06-29
Business Address
Dr. ANTHONY VINCENT LISA MD
101 NICHOLLS ROAD
STONY BROOK, NY 11794-8460
Phone number: 631-444-2484
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Mailing Address
Dr. ANTHONY VINCENT LISA MD
101 NICHOLLS ROAD
STONY BROOK, NY 11794-8460
Phone number: 631-444-2484
Copy
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