SearchNew York183500000X

Larisa Novodvorskaya

NPI 1285805994 · on the registry since 2008

Practice

Address
325 New Dorp Ln
Staten Island, NY 10306
Phone
(718) 351-2400
Fax
(718) 354-5400
Organisation at this address
Lenlak Inc
Lenlak Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 2660 Hylan Blvd, Staten Island, NY

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York