Larissa Fomitcheva, M.D.

NPI #1780695718 in Lindenhurst, New York

Provider Information

NPI Number: 1780695718
Entity Type: Individual
Name: Larissa Fomitcheva, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: M.D.
Enumeration Date: Aug 11, 2006
Last Updated: Aug 30, 2024

Practice Location

Address: 57 W SUNRISE HWY
City: Lindenhurst
State: New York
ZIP Code: 11757-2426
Phone: (631) 466-5242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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