LARISA MAKSIMOV

JAMAICA, NY
NPI1013561836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  564028)
Enumeration Date2019-07-30
Last Update Date2019-07-30
Business Address
LARISA MAKSIMOV
8235 MAIN ST
JAMAICA, NY 11435-1207
Phone number: 212-810-0700
Mailing Address
LARISA MAKSIMOV
8235 MAIN ST
JAMAICA, NY 11435-1207
Phone number: 212-810-0700
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