Most Relevant Information
Provider Data
| NPI Number: | 1003316415 |
| Provider Name: | LARISSA DOS SANTOS GARCEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/13/2018 |
| Last Updated: | 02/13/2018 |
Provider Practice Location
659 WILLIS ST
SOUTH HEMPSTEAD
NY
115508021
Practice Location Phone/Fax
| Phone: | 6312585946 |
| Fax: |
Provider Mailing Location
659 WILLIS ST
SOUTH HEMPSTEAD
NY
115508021
Provider Mailing Phone/Fax
| Phone: | 6312585946 |
| Fax: |