LARISA MALISOVA, DO
General Practice
Active
Individual
NPI: 1861448896
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | 234484 (NY) |
Frequently Asked Questions
NPI 1861448896 is the National Provider Identifier for LARISA MALISOVA, DO, a General Practice provider located in Staten Island, NY. This NPI was enumerated on May 25, 2006.
LARISA MALISOVA, DO practices at 420 LYNDALE AVE, Staten Island, NY 10312.
Quick Facts
- NPI
- 1861448896
- Type
- Individual
- Enumerated
- May 25, 2006
- Last Updated
- May 28, 2010
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