Gavrielova, Larisa

Gavrielova, Larisa is an sole proprietor health care provider with primary practice located at 8315 Lefferts Blvd Apt 4N , Kew Gardens NY 11415-2541. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gavrielova, Larisa can be contacted via phone (718) 441-1651.

Contact Information

Primary practice address
8315 Lefferts Blvd Apt 4N Kew Gardens NY 11415-2541
Phone: (718) 441-1651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 016324 New York

Profile Details

NPI number 1376854331
LBN Legal business name Gavrielova, Larisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2010
Last updated Jun 24th, 2010 - about 14 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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