Individual
LARISA LASHIKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
2061 BAY RIDGE PKWY, APTB1, BROOKLYN, NY 11204-5943
(917) 499-1055
(718) 491-0991
Mailing address
2061 BAY RIDGE PKWY, APT B1, BROOKLYN, NY 11204-5943
(917) 499-1055
(718) 491-0991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
231581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02572301
—
NY
Enumeration date
04/17/2006
Last updated
07/08/2007
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