Individual
LARISA LAYH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 BRIARWOOD LN, PLAINVIEW, NY 11803-6328
(631) 624-6364
Mailing address
49 BRIARWOOD LN, PLAINVIEW, NY 11803-6328
(631) 624-6364
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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