Individual provider · Type 1 NPI
Johanna Laros
Specialist · Jamaica, NY
NPI number
1912349358
Active
Practice location
117-21 Sutphin Boulevard
Jamaica, NY 11434
Mailing address
555 Franklin Blvd
Long Beach, NY 11561-2447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 158309827 (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 1912349358
Johanna Laros's National Provider Identifier is 1912349358, issued on Jul 26, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jamaica, NY. The record was last updated on Jul 26, 2013.