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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063414639 NPPES
New York Other 0606P2 MEDICARE P-TAN

Popular Providers