Individual provider · Type 1 NPI

Larisa Malisova, DO

General Practice Physician · Staten Island, NY

NPI number 1861448896 Active

Practice location

420 Lyndale Ave
Staten Island, NY 10312-6131

Call (718) 967-5630 Map

Mailing address

1270 E 19th St, Apt. 6 M
Brooklyn, NY 11230-5457

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X234484 (NY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

4 other providers at this address

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About NPI 1861448896

Larisa Malisova, DO's National Provider Identifier is 1861448896, issued on May 25, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Staten Island, NY. The record was last updated on May 28, 2010.