Individual provider · Type 1 NPI

Larisa Gumerova, PA-C

Medical Physician Assistant · Staten Island, NY

NPI number 1699061986 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X025790 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1699061986

Larisa Gumerova, PA-C's National Provider Identifier is 1699061986, issued on Jun 24, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staten Island, NY. The record was last updated on Oct 7, 2024.