Kleymenova, Larisa V.

Kleymenova, Larisa V. is an individual health care provider with primary practice located at 5115 Beach Channel Dr , Far Rockaway NY 11691-1042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kleymenova, Larisa V. can be contacted via phone (212) 563-2627.

Contact Information

Primary practice address
5115 Beach Channel Dr Far Rockaway NY 11691-1042
Fax: (212) 563-0605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 230116 New York

Profile Details

NPI number 1841325339
LBN Legal business name Kleymenova, Larisa V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841325339 NPPES
New York MEDICAID 02498626

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