Individual
LARISA ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 REDWOOD LOOP, STATEN ISLAND, NY 10309-1687
(347) 409-0959
Mailing address
141 REDWOOD LOOP, STATEN ISLAND, NY 10309-1687
(347) 409-0959
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
666356
NY
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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