Individual
MRS. LARISA FRIDLYAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065
(212) 746-0780
Mailing address
20 GRAND ST, FL 3, WARWICK, NY 10990-1035
(201) 803-4802
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430921
NY
Other
Enumeration date
07/13/2015
Last updated
05/11/2020
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