Lio Larisa Ustayeva
NPI #1518598036 in Rockaway Park, New York
Provider Information
- NPI Number
- 1518598036
- Entity Type
- Individual
- Name
- Lio Larisa Ustayeva
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 3, 2020
- Last Updated
- Feb 3, 2020
Practice Location
- Address
- 11506 ROCKAWAY BEACH BLVD
- City
- Rockaway Park
- State
- New York
- ZIP Code
- 11694-2346
- Phone
- (718) 554-7766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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