LARISSA YOSSEFI


Address: 8002 Kew Gardens Rd, Suite 704, Kew Gardens, NY 11415-3600
Phone: 7185201513

LARISSA YOSSEFI (NPI# 1619314135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619314135
Entity Type Individual
Full Name LARISSA YOSSEFI
Credential NP
Practice Address 8002 Kew Gardens Rd
Suite 704
Kew Gardens
NY 11415-3600
Mailing Address Po Box 417147
Boston
MA 02241-7147
Practice Telephone 7185201513
Practice Fax Number 7185206460
Mailing Telephone 5189528140
Mailing Fax Number 5189528287
Enumeration Date 2013-05-23
Last Update Date 2017-07-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
606294 NY Behavioral Health & Social Service Providers
N 163W00000X Registered Nurse 606294 NY Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F402174 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03008151 05

Office Location

Street Address 8002 KEW GARDENS RD
SUITE 704
City KEW GARDENS
State NY
Zip Code 11415-3600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124090071 Stephen Dong Optometrist 8002 Kew Gardens Rd, Suite C-108, Kew Gardens, NY 11415-3600 2006-02-06
1154883726 Shaneka Lakeisha Nixon Counselor 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 2019-04-03
1710454582 Jodian Downer Nursing Care 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 2018-10-30
1366950503 Naomy Darius Licensed Practical Nurse 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 2018-01-22
1760928592 Ellen Mcbride Registered Nurse 8002 Kew Gardens Rd, Suite# 303, Kew Gardens, NY 11415-3600 2017-01-18
1659814929 Stamatoula Georgiou Psychologist 8002 Kew Gardens Rd, Concourse Level, Suite 102, Kew Gardens, NY 11415-3600 2016-11-18
1437691854 Johnny Park Physical Therapist 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 2016-11-16
1528510088 Kayrene Farmer Licensed Practical Nurse 8002 Kew Gardens Rd, #303, Kew Gardens, NY 11415-3600 2016-11-01
1427509868 Matthiessen Condy Social Worker 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 2016-10-20
1851841423 Professional Occupational & Physical Therapy, Pllc Physical Therapist 8002 Kew Gardens Rd, 4th Floor, Kew Gardens, NY 11415-3600 2016-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700492519 Si Physical Therapy Clinic/Center 119-60 Metropolitan Ave, Kew Gardens, NY 11415 2020-09-17
1760036073 Alina Alayev Nurse Practitioner 123-60 83rd Ave 11d, Kew Gardens, NY 11415 2019-07-25
1659860435 Karolina Pinkhasova Developmental Therapist 11917 83rd Ave, Kew Gardens, NY 11415 2018-05-07
1508395989 Hiral Patel Physician Assistant 125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415 2017-06-08
1912432147 Jessica Stefanie Minsky Speech-Language Pathologist 82-34 Kew Gardens Rd, Kew Gardens, NY 11415 2017-04-25
1629426697 Muhammad Usman Physical Therapist 8526 126th St Fl 2, Kew Gardens, NY 11415 2016-05-31
1598126260 Chinonye Benjamin Licensed Practical Nurse 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 2016-03-09
1730559105 Mohamed Abaza Physical Therapist 119-05 80th Road, Kew Gardens, NY 11415 2015-09-29
1457737306 Noelle Elizabeth Lenti-nightengale Registered Nurse 124-16 85 Avenue, Kew Gardens, NY 11415 2015-08-03
1871996983 Zinovia Ioannou Dental Hygienist 121-56 Metropolitan Ave, Kew Gardens, NY 11415 2014-10-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1619578366 Jecinter L Otieno Nurse Practitioner 195 Hillside Dr, Oneonta, NY 13820-3611 2020-11-07
1073113833 Natalie Grant-villegas Nurse Practitioner 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 2020-10-29
1780284869 Mary Gwynne Tillotson Nurse Practitioner 82 Oxford Ave, Buffalo, NY 14209-1406 2020-10-28
1780284273 Angela Abramov Nurse Practitioner 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 2020-10-26
1407455967 Marie J. Schwarz, Npp-bc PC Nurse Practitioner 133 E Main St Ste 3h, Babylon, NY 11702-3517 2020-10-25
1720687015 Ashley Winn Nurse Practitioner 367 E Chester St, Long Beach, NY 11561-2324 2020-10-19
1114525961 Tanya Monique Sydnor Holmes Nurse Practitioner 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 2020-10-14
1669079976 Mary Lynn Good Nurse Practitioner 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 2020-10-08
1376140277 Megan Elizabeth Bhatti Nurse Practitioner 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 2020-10-04
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Competitor

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City KEW GARDENS
Zip Code 11415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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