Individual
LARISA VOLOKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 WILBUR RD, THIELLS, NY 10984-7555
(585) 721-2604
Mailing address
39 GAIL DRIVE, APT B, NYACK, NY 10960
(585) 721-2604
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101181
NY
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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