Individual
LARISA ANATOLIEVNA RUSYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
462 1ST AVE RM 8W52, NEW YORK, NY 10016-9196
(212) 562-6904
(212) 562-3273
Mailing address
462 1ST AVE RM 8W52, NEW YORK, NY 10016-9196
(212) 562-6904
(212) 562-3273
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
IN PROGRESS
NY
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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