Individual
MISS LARISSA KIM LASKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 447-4534
Mailing address
455 1ST AVE RM 123, NEW YORK, NY 10016-9102
(212) 447-4534
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
267865
NY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
267865
NY
Other
Enumeration date
05/11/2009
Last updated
08/29/2022
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