Stathakes, Larissa
Stathakes, Larissa is an individual health care provider with primary practice located at 750 Brunswick Ave Helene Fuld Medical Center, Trenton NJ 08638-4143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stathakes, Larissa can be contacted via phone (800) 345-0064.Contact Information
Primary practice address
750 Brunswick Ave Helene Fuld Medical Center
Trenton NJ 08638-4143
Phone: (800) 345-0064
Fax: (973) 251-1109
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00221400 | New Jersey |
Profile Details
NPI number | 1992935100 |
---|---|
LBN Legal business name | Stathakes, Larissa |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2009 |
Last updated | Jun 20th, 2022 - about 2 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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