LARISA GUMEROVA

STATEN ISLAND, NY
NPI1699061986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NY  025790)
Enumeration Date2011-06-24
Last Update Date2024-10-07
Business Address
LARISA GUMEROVA PA-C
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-5885
Mailing Address
LARISA GUMEROVA PA-C
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 716-226-5885
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