Individual
LARISA ABDURAKHMANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1552 W 3RD ST APT 3B, BROOKLYN, NY 11204-4133
(718) 552-2007
Mailing address
1552 W 3RD ST APT 3B, BROOKLYN, NY 11204-4133
(718) 552-2007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
254067
NY
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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