Individual
DR. NICANOR ANTHONY LACSINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3083 BAINBRIDGE AVE, BRONX, NY 10467-3904
(718) 655-6040
Mailing address
3083 BAINBRIDGE AVE, BRONX, NY 10467-3904
(718) 655-6040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02826355
—
NY
Enumeration date
12/12/2006
Last updated
10/08/2020
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