Individual
MISS LARISSA NIERENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
335 JOHNSON AVE, SAYVILLE, NY 11782-1143
(631) 589-8060
(631) 589-0908
Mailing address
335 JOHNSON AVE, SAYVILLE, NY 11782-1143
(631) 589-8060
(631) 589-0908
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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