Search › New York › 208D00000X
Larisa Malisova, DO
NPI 1861448896 · on the registry since 2006 · sole proprietor
Practice
- Address
- 420 Lyndale Ave
Staten Island, NY 10312 - Phone
- (718) 967-5630
- Organisation at this address
- Island Internist Pc
Nsuh South Beach Physicians Ufp CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York