Gourdet, Larissa

Gourdet, Larissa is an individual health care provider with primary practice located at 997 Glen Cove Ave , Glen Head NY 11545-1593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gourdet, Larissa can be contacted via phone (516) 674-9144.

Contact Information

Primary practice address
997 Glen Cove Ave Glen Head NY 11545-1593
Phone: (516) 674-9144
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F307969 New York

Profile Details

NPI number 1497205173
LBN Legal business name Gourdet, Larissa
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2016
Last updated Oct 6th, 2016 - about 8 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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