Provider Demographics
NPI:1043747835
Name:LARISA VOROBYEVA, MD P.C.
Entity Type:Organization
Organization Name:LARISA VOROBYEVA, MD P.C.
Other - Org Name:CHOICE OBSTETRICS AND GYNECOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:VOROBYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-696-4857
Mailing Address - Street 1:1460 W 5TH ST STE M2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4071
Mailing Address - Country:US
Mailing Address - Phone:718-774-7437
Mailing Address - Fax:718-483-8843
Practice Address - Street 1:1460 W 5TH ST STE M2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4071
Practice Address - Country:US
Practice Address - Phone:718-774-7437
Practice Address - Fax:718-483-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty