Kayserman, Larisa

Kayserman, Larisa is an individual health care provider with primary practice located at 1200 E Ridgewood Ave , Ridgewood NJ 07450-3957. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Kayserman, Larisa can be contacted via phone (201) 612-9600.

Contact Information

Primary practice address
1200 E Ridgewood Ave Ridgewood NJ 07450-3957
Phone: (201) 612-9600
Fax: (201) 612-0428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 25MA06139100 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA06139100 New Jersey

Profile Details

NPI number 1417926361
LBN Legal business name Kayserman, Larisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417926361 NPPES
New Jersey MEDICAID 6798608

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