Individual
LARISA BELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
(718) 471-0734
Mailing address
242 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
437336-1
NY
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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