Individual
MISS OLGA LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-A
Contact information
Practice address
1263 OCEAN PARKWAY, BROOKLYN, NY 11230-5105
(718) 421-2782
(718) 421-2783
Mailing address
1263 OCEAN PKWY, BROOKLYN, NY 11230-5101
(718) 421-2782
(718) 421-2783
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001736
NY
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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