Malisova, Larisa
Malisova, Larisa is an sole proprietor health care provider with primary practice located at 420 Lyndale Ave , Staten Island NY 10312-6131. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Malisova, Larisa can be contacted via phone (718) 967-5630.Contact Information
Primary practice address
420 Lyndale Ave
Staten Island NY 10312-6131
Phone: (718) 967-5630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 234484 | New York |
Profile Details
| NPI number | 1861448896 |
|---|---|
| LBN Legal business name | Malisova, Larisa |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | May 28th, 2010 - 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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