Venezia, Larisa V
Venezia, Larisa V is an sole proprietor health care provider with primary practice located at 46 Route 25A Suite 6, East Setauket NY 11733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Venezia, Larisa V can be contacted via phone (631) 689-1444.Contact Information
Primary practice address
46 Route 25A Suite 6
East Setauket NY 11733
Phone: (631) 689-1444
Fax: (631) 689-1448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2307881 | New York |
Profile Details
| NPI number | 1063414639 |
|---|---|
| LBN Legal business name | Venezia, Larisa V |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Dec 15th, 2010 - about 14 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 | 1063414639 | NPPES |
| New York | Other | 0606P2 | MEDICARE P-TAN |
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