Fomitcheva, Larissa
Fomitcheva, Larissa is an individual health care provider with primary practice located at 980 N Broadway , N Massapequa NY 11758-2355. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Fomitcheva, Larissa can be contacted via phone (516) 795-2890.Contact Information
Primary practice address
980 N Broadway
N Massapequa NY 11758-2355
Phone: (516) 795-2890
Fax: (516) 795-7450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 241373 | New York |
Profile Details
| NPI number | 1780695718 |
|---|---|
| LBN Legal business name | Fomitcheva, Larissa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Sep 22nd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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