Individual provider · Type 1 NPI

Larisa Jdanova, MSDE

Specialist · Brooklyn, NY

NPI number 1649689977 Active

Practice location

1580 Dahill Rd Fl 2
Brooklyn, NY 11204-3573

Call (718) 375-2505 Map

Fax (718) 375-2472

Mailing address

55 Racal Ct Fl 3
Staten Island, NY 10314-5831

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2598598 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649689977

Larisa Jdanova, MSDE's National Provider Identifier is 1649689977, issued on Aug 12, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 12, 2014.