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Individual

OLGA LISNYAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
26524 74TH AVE, APT G 1, GLEN OAKS, NY 11004-1164
(347) 894-8361
Mailing address
26524 74TH AVE, APT G 1, GLEN OAKS, NY 11004-1164

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
250198
NY

Other

Enumeration date
05/24/2011
Last updated
05/24/2011
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