Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larisa Jdanova, MSDE

Individual provider Specialist · NPI 1649689977

Larisa Jdanova, MSDE is a Specialist in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

1580 Dahill Rd Fl 2
Brooklyn, NY 11204-3573
Phone: (718) 375-2505
Fax: (718) 375-2472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2598598 (NY)

Record details

NPI number1649689977
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSDE
Sole proprietorNo
NPI enumeratedAugust 12, 2014
Last updated in NPPESAugust 12, 2014

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