Individual
DR. LARISA GESKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, 12TH FLOOR, NEW YORK, NY 10032-3729
(212) 305-5293
Mailing address
161 FORT WASHINGTON AVE, 12TH FLOOR, NEW YORK, NY 10032-3729
(212) 305-5293
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
272145-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001851438
—
PA
05
—
02189600
—
NY
01
—
A400109932
MEDICARE ID-TYPE UNSPECIFIED
NY
Enumeration date
02/09/2006
Last updated
03/14/2018
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