Individual provider · Type 1 NPI
Larisa Makarov, P.A.
Medical Physician Assistant · Brooklyn, NY
NPI number
1396290599
Active
Practice location
150 55th St
Brooklyn, NY 11220-2508
Mailing address
2955 Shell Rd Apt 5J
Brooklyn, NY 11224-3645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 019910 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1396290599
Larisa Makarov, P.A.'s National Provider Identifier is 1396290599, issued on Aug 18, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 18, 2016.