Ostrovskaia, Larissa S

Ostrovskaia, Larissa S is an individual health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1914. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Ostrovskaia, Larissa S can be contacted via phone (201) 996-2200.

Contact Information

Primary practice address
30 Prospect Ave Hackensack NJ 07601-1914
Phone: (201) 996-2200
Fax: (201) 489-2812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07088900 New Jersey

Profile Details

NPI number 1386629285
LBN Legal business name Ostrovskaia, Larissa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Sep 6th, 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 1386629285 NPPES
New Jersey MEDICAID 8345406

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