Individual
MRS. LARISA N LIKVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8419 BAY PKWY, BROOKLYN, NY 11214-3303
(718) 259-0199
(718) 256-0109
Mailing address
181 COLERIDGE ST, BROOKLYN, NY 11235-4130
(718) 259-0199
(718) 256-0109
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
216637
NY
208100000X
Physical Medicine & Rehabilitation Physician
MA070167
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02077278
—
NY
Enumeration date
09/12/2005
Last updated
10/06/2010
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