Larisa Malisova in Staten Island - General Practice
Larisa Malisova - NPI 1861448896
Larisa Malisova is a General Practice in Staten Island, New York. Larisa Malisova practices all healthcare services and medical treatments related to General Practice. The NPI Number for Larisa Malisova is 1861448896. The last update date is 2010-05-28.
Larisa Malisova's current location address is 420 Lyndale Ave, Staten Island, New York. You can contact this provider via phone number 7189675630. The mailing address for Larisa Malisova is 420 Lyndale Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larisa Malisova |
|---|---|
| Address | 420 Lyndale Ave, Staten Island, New York |
| Phone Number | 7189675630 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1861448896 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2010-05-28 |
Provider Mailing Address Detail
| Address | 420 Lyndale Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103126131 |
| Phone Number | 7189675630 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 234484 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identification code assigned to Larisa Malisova by the Centers for Medicare & Medicaid Services?
The Larisa Malisova has been issued the NPI (National Provider Identifier) 1861448896, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Larisa Malisova is located?
The Larisa Malisova is situated at the following address: 420 Lyndale Ave, Staten Island, NY, 103126131.
What is the Larisa Malisova's specialty and taxonomy code?
The Larisa Malisova's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
When did the Larisa Malisova receive its 1861448896?
The Larisa Malisova was issued its 1861448896 on 2006-05-25, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Larisa Malisova most recently updated or revised?
The information pertaining to Larisa Malisova, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-28.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY