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Individual

DR. ROMAN POLISHCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
904 49TH ST, MEDICAL & SURGICAL EYESITE, BROOKLYN, NY 11219-2922
(718) 283-8000
(718) 365-3655
Mailing address
904 49TH ST, MEDICAL & SURGICAL EYESITE, BROOKLYN, NY 11219-2922
(718) 283-8000
(718) 365-3655

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007870
NY

Other

Enumeration date
06/20/2012
Last updated
11/30/2012
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