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INDIVIDUAL PROVIDER
NPI 1538407259
Specialist in Brooklyn, NY

Active since January 30, 2013
3031 BRIGHTON 1ST ST, BROOKLYN, NY 11235(917) 612-5231 Get Directions Write a Review

NPPES record last updated: February 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Individual Provider NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIVIDUAL PROVIDER (NPI 1538407259) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since January 2013. The organization lists Larisa Mishina, Special Ed. Teacher, as its authorized official.

NPPES Registry Identity

NPI1538407259
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINDIVIDUAL PROVIDER
Location Address3031 BRIGHTON 1ST STBrooklyn, NY 11235-8017
Mailing Address3031 Brighton 1st StBrooklyn, NY 11235-8017 · (917) 612-5231
Phone(917) 612-5231
Organization SubpartNo
Authorized OfficialLarisa MishinaSpecial Ed. Teacher · (917) 612-5231
Enumeration DateJanuary 30, 2013
Last NPPES UpdateFebruary 2, 2013
✔ NPI 1538407259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3031 BRIGHTON 1ST ST, Brooklyn, NY 11235
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Individual Provider's NPI number?

The NPI number for Individual Provider is 1538407259. It was assigned to this organization in the NPPES registry on January 30, 2013.

Where is Individual Provider located?

Individual Provider is located at 3031 Brighton 1st St, Brooklyn, NY 11235. The listed phone number is (917) 612-5231.

What is Individual Provider's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Individual Provider was last updated on February 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.