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Larissa Jerominow
Gerontology Nurse Practitioner in Staten Island, New York
NPI 1285284992

Larissa Jerominow is a Gerontology Nurse Practitioner based in New York, NY and is specialized in Gerontology. Larissa Jerominow practices in Staten Island, NY. The NPI Number for Larissa Jerominow is 1285284992 and holds a License No. F30911-01 (New York).

The current practice location address for Larissa Jerominow is 4771 Hylan Blvd, Staten Island, NY and can be reached out via phone at 718-948-8200 and via fax at 718-420-2718.

Location: 4771 Hylan Blvd, Staten Island, NY, 10041-0010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285284992
Provider Name
Larissa Jerominow
Credential
Provider Entity Type
Individual
Gender
Female
Address
4771 Hylan Blvd, Staten Island, NY, 10041-0010
Phone Number
718-948-8200
Fax Number
718-420-2718
Provider Enumeration Date
09/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205559812 01 NURSE PRACTITIONER-ADULT GERONTOLOGY
institution
Provider Business Practice Location Address Details
Address
4771 Hylan Blvd
City
Staten Island
State
New York
Zip
10312-6315
Phone Number
718-948-8200
Fax Number
718-420-2718
person
Provider Business Mailing Address Details
Address
4771 Hylan Blvd
City
Staten Island
State
New York
Zip
10312-6315
Phone Number
718-948-8200
Fax Number
718-420-2718
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
F309311-01 (New York)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
F30911-01 (New York)
Definition
Definition to come...
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