Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 22338-1 | NY |
NPI | 1003843061 |
---|---|
Provider Name | Larisa Veksman |
First Address | Brooklyn, NY 11235-5327 |
Second Address | Brooklyn, NY 11235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 19/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0102248 | AMERICHOICE (01) | NY |
02255787 | (05) | NY |
214676P | HIP (01) | NY |
2373089 | UNATED HEALTH CARE (01) | NY |
270067821 | 1199NBF (01) | NY |
270067821 | MAGNACARE (01) | NY |
270067821 | MULTIPLAN (01) | NY |
3C5041 | HEALTHNET (01) | NY |
5558D | EMPIRE BCBSH (01) | NY |
5996861 | GHI (01) | NY |
7888447 | AETNA PPO (01) | NY |
8990102 | CIGNA (01) | NY |
9400588 | PHCS (01) | NY |
H78330 | (02) | NY |
P3245014 | OXFORD (01) | NY |