Larisa Gavrielova
NPI #1376854331 in Kew Gardens, New York
Provider Information
- NPI Number
- 1376854331
- Entity Type
- Individual
- Name
- Larisa Gavrielova
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 24, 2010
- Last Updated
- Jun 24, 2010
Practice Location
- Address
- 8315 LEFFERTS BLVD APT 4N
- City
- Kew Gardens
- State
- New York
- ZIP Code
- 11415-2541
- Phone
- (718) 441-1651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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