Individual
MS. LARISA KNOPOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, MSN
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-1988
(718) 226-1970
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-1988
(718) 226-1970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
501651
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F303803
NY
Other
Enumeration date
01/05/2008
Last updated
09/19/2013
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