Individual
LARISSA JEROMINOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 14TH AVE STE 550, BROOKLYN, NY 11218-3773
(718) 819-6144
(718) 819-6145
Mailing address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 436-9060
(615) 235-9725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F30911-01
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F309311-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205559812
NURSE PRACTITIONER-ADULT GERONTOLOGY
—
Enumeration date
09/14/2019
Last updated
07/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us