DR. Steven Louis Lysenko, DMD

NPI #1790987055 in Voorheesville, New York

Provider Information

NPI Number: 1790987055
Entity Type: Individual
Name: DR. Steven Louis Lysenko, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 17 MAPLE RD
City: Voorheesville
State: New York
ZIP Code: 12186-9501
Phone: (518) 765-4616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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