DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARISA MALISOVA, DO

Active Sole Proprietor

General Practice · STATEN ISLAND, NY

Registration Details

NPI Number
1861448896
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2006 (19.906310480279 yrs)
Last Updated
May 28, 2010
License
234484 (NY)
Sole Proprietor
Yes

Practice Information

Address
420 LYNDALE AVE
STATEN ISLAND, NY, 103126131
Browse NY providers · Browse ZIP 10312
Phone
7189675630
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in STATEN ISLAND, NY

Name Credential NPI
STEVE SANG HAHN MD 1821084948
DR. MICHAEL DENNIS CORRENTE JR. D.O. 1801886817
DR. JOHN DOMINICK MCCARTHY D.O. 1235103342
DR. JOHN R MAESE MD 1750476289
DR. JANICE HUGHES CULLEY M.D. 1083827463
NELLY E CUNNINGHAM M.D. 1295978666
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.