Larissa Fomitcheva in N Massapequa - Obstetrics & Gynecology
Larissa Fomitcheva - NPI 1780695718
Larissa Fomitcheva is a Obstetrics & Gynecology in N Massapequa, New York. Larissa Fomitcheva practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Larissa Fomitcheva is 1780695718. The last update date is 2009-09-22.
Larissa Fomitcheva's current location address is 980 N Broadway, N Massapequa, New York. You can contact this provider via phone number 5167952890 and fax number 5167957450. The mailing address for Larissa Fomitcheva is 980 N Broadway, N Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larissa Fomitcheva |
|---|---|
| Address | 980 N Broadway, N Massapequa, New York |
| Phone Number | 5167952890 |
| Fax Number | 5167957450 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780695718 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2009-09-22 |
Provider Mailing Address Detail
| Address | 980 N Broadway |
|---|---|
| City | N Massapequa |
| State | New York (NY) |
| Post Code | 117582355 |
| Phone Number | 5167952890 |
| Fax Number | 5167957450 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 241373 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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What is the unique 10-digit identification code assigned to Larissa Fomitcheva by the Centers for Medicare & Medicaid Services?
The Larissa Fomitcheva has been issued the NPI (National Provider Identifier) 1780695718, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larissa Fomitcheva's facilities are situated?
The facilities of Larissa Fomitcheva are physically located at the following address: 980 N Broadway, N Massapequa, NY, 117582355.
What is Larissa Fomitcheva's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larissa Fomitcheva is Obstetrics & Gynecology, and the taxonomy code that categorizes this field of expertise is 207V00000X.
When did Larissa Fomitcheva receive its 1780695718 assignment?
The Larissa Fomitcheva was assigned its 1780695718 on 2006-08-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Larissa Fomitcheva most recently updated or revised?
The information pertaining to Larissa Fomitcheva, including its address, specialty, and other relevant details, was last updated or revised on 2009-09-22.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA