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Organization
LARISA VEKSMAN D.O P.C
Active
Organization
LARISA VEKSMAN D.O P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA VEKSMAN D.O (OWNER)
(718) 891-8822
Entity
Organization
Contact information
Practice address
162 BRIGHTON 11TH ST, 1ST FLOOR, BROOKLYN, NY 11235-5327
(718) 891-8822
(718) 891-8823
Mailing address
21 GOODALL ST, STATEN ISLAND, NY 10308-3325
(718) 891-8822
(718) 891-8823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
223381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223381
LICENSE
NY
Enumeration date
07/28/2008
Last updated
07/28/2008
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