Individual
LARISA VEKSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
162 BRIGHTON 11STREET, 1ST FLOOR, BROOKLYN, NY 11235
(212) 686-6700
(646) 349-2066
Mailing address
162 BRIGHTON 11TH ST, BROOKLYN, NY 11235-5327
(718) 891-8822
(646) 349-2066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22338-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102248
AMERICHOICE
NY
05
—
02255787
—
NY
01
—
214676P
HIP
NY
01
—
2373089
UNATED HEALTH CARE
NY
01
—
270067821
1199NBF
NY
01
—
3C5041
HEALTHNET
NY
01
—
5558D
EMPIRE BCBSH
NY
01
—
5996861
GHI
NY
01
—
7888447
AETNA PPO
NY
01
—
8990102
CIGNA
NY
01
—
9400588
PHCS
NY
01
—
P3245014
OXFORD
NY
Enumeration date
06/27/2006
Last updated
07/19/2018
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