Mikhaylov, Larisa
Mikhaylov, Larisa is an individual health care provider with primary practice located at 1000 N. Village Avenue , Rockville Centre NY 11571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mikhaylov, Larisa can be contacted via phone (516) 705-1353.Contact Information
Primary practice address
1000 N. Village Avenue
Rockville Centre NY 11571
Phone: (516) 705-1353
Fax: (516) 705-3575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 167427 | New York |
Profile Details
| NPI number | 1477737666 |
|---|---|
| LBN Legal business name | Mikhaylov, Larisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 24th, 2007 |
| Last updated | Apr 2nd, 2008 - about 18 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 | 1477737666 | NPPES |
| New York | Other | 167427 | LICENSE |
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