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
Phone: (212) 563-2627
Fax: (212) 563-0605
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841325339 | NPPES |
| New York | MEDICAID | 02498626 |
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