Individual
LARISSA YOSSEFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
195 PARKSIDE DR, ROSLYN HEIGHTS, NY 11577-2211
(347) 653-9555
Mailing address
195 PARKSIDE DR, ROSLYN HEIGHTS, NY 11577-2211
(347) 653-9555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
606294
NY
163W00000X
Registered Nurse
606294
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
402174
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03008151
—
NY
01
—
1619314135
NPI
—
Enumeration date
05/23/2013
Last updated
02/26/2024
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