Ms Larisa Mullodzhanova, MS, OTR/L - Occupational Therapist in Corona, NY

Ms Larisa Mullodzhanova, MS, OTR/L is a Occupational Therapist - Pediatrics based in Corona, New York. Ms Larisa Mullodzhanova is licensed to practice in New York (license number 016063) and her current practice location is 9705 Horace Harding Expy Apt 11b, Corona, New York. She can be reached at her office (for appointments etc.) via phone at (718) 791-2594.

NPI number for Ms Larisa Mullodzhanova is 1255638169 and her current mailing address is 9705 Horace Harding Expy Apt 11b, Corona, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255638169.

Contact Information

Ms Larisa Mullodzhanova, MS, OTR/L
9705 Horace Harding Expy Apt 11b,
Corona, NY 11368-4104
(718) 791-2594
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Larisa Mullodzhanova
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location9705 Horace Harding Expy Apt 11b, Corona, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255638169
  • Provider Enumeration Date: 02/12/2011
  • Last Update Date: 02/12/2011

Medical Identifiers

Medical identifiers for Ms Larisa Mullodzhanova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255638169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 016063 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Larisa Mullodzhanova is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Larisa Mullodzhanova, MS, OTR/L
9705 Horace Harding Expy Apt 11b,
Corona, NY 11368-4104

Ph: (718) 791-2594
Ms Larisa Mullodzhanova, MS, OTR/L
9705 Horace Harding Expy Apt 11b,
Corona, NY 11368-4104

Ph: (718) 791-2594

Reviews and Comments


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