Individual
DR. LARISA SHPITALNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3544 JEROME AVE, BRONX, NY 10467
(718) 920-5896
Mailing address
3544 JEROME AVE, BRONX, NY 10467
(201) 418-3100
(201) 418-3148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
252168-1
NY
Other
Enumeration date
07/25/2008
Last updated
12/12/2011
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