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

Individual provider General Practice Physician · NPI 1861448896

Larisa Malisova, DO is an Internal Medicine in Staten Island, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2002, 24 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
24
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

420 Lyndale Ave
Staten Island, NY 10312-6131
Phone: (718) 967-5630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 234484 (NY)

Record details

NPI number1861448896
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 25, 2006
Last updated in NPPESMay 28, 2010
Mailing address1270 E 19th St, Apt. 6 M, Brooklyn, NY 11230-5457

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2002 (24 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Staten Island