Individual
LARISA ASHEROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8374 TALBOT ST, #4E, KEW GARDENS, NY 11415-3539
(917) 407-8285
Mailing address
8374 TALBOT ST, #4E, KEW GARDENS, NY 11415-3539
(917) 407-8285
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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