Doctor Name: | MS. LARISA MURATOV |
NPI Number: | 1326386426 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.ED. |
License Number: | 477804 |
Business Practice Address: | 24537 60th Ave Douglaston, NY - 113622014 |
Business Phone Number: | 7187288476 |
Business Fax Number: | 7187467544 |
Mailing Address: | 253 W 35th St Fl 16, NEW YORK |
State: | NY |
Postal Code: | 100011907 |
Phone Number: | 7187288476 |
Fax Number: | 7187467544 |
NPI Enumeration Date: | 01/24/2013 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 477804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |