Individual
SERGIO PLISETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
278 NEW DORP LN, STATEN ISLAND, NY 10306-3048
(718) 667-8800
Mailing address
278 NEW DORP LANE, STATEN ISLAND, NY 10306
(718) 667-8800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7028
NY
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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