Yossefi, Larissa
Yossefi, Larissa is an sole proprietor health care provider with primary practice located at 195 Parkside Dr , Roslyn Heights NY 11577-2211. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Yossefi, Larissa can be contacted via phone (347) 653-9555.Contact Information
Primary practice address
195 Parkside Dr
Roslyn Heights NY 11577-2211
Phone: (347) 653-9555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 606294 | New York |
| Nursing Service Providers / Registered Nurse | 163W00000X | 606294 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 402174 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F402174 | New York |
Profile Details
| NPI number | 1619314135 |
|---|---|
| LBN Legal business name | Yossefi, Larissa |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2013 |
| Last updated | Feb 26th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619314135 | NPPES |
| Other | 1619314135 | NPI | |
| MEDICAID | 03008151 | NPI |
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