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Larissa Soboleva, AGACNP
Acute Care Nurse Practitioner in Bay Shore, New York
NPI 1982320859

Larissa Soboleva is an Acute Care Nurse Practitioner based in Deer Park, NY and is specialized in Acute Care. Larissa Soboleva practices in Bay Shore, NY and has the professional credentials of AGACNP. The NPI Number for Larissa Soboleva is 1982320859 and holds a License No. F431618 (New York).

The current practice location address for Larissa Soboleva is 301 E Main St, Bay Shore, NY and can be reached out via phone at 631-968-3000.

Location: 301 E Main St, Bay Shore, NY, 11729-5642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982320859
Provider Name
Larissa Soboleva
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
301 E Main St, Bay Shore, NY, 11729-5642
Phone Number
631-968-3000
Fax Number
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 E Main St
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-968-3000
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Main St
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-968-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
F431618 (New York)
Definition
Definition to come...
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