Organization
PELHAM PARKWAY VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG LISITSYN OD (PART OWNER)
(718) 829-2160
Entity
Organization
Contact information
Practice address
731 LYDIG AVE, BRONX, NY 10462-2103
(718) 829-2160
(718) 829-9502
Mailing address
735 LYDIG AVE, BRONX, NY 10462-2103
(718) 829-2160
(718) 829-9502
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
006388
NY
Other
Enumeration date
05/03/2007
Last updated
04/14/2021
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