LARISA JDANOVA MSDE
NPI 1649689977
Specialist in Brooklyn, NY

Active since August 12, 2014
1580 DAHILL RD FL 2, BROOKLYN, NY 11204(718) 375-2505(718) 375-2472 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larisa Jdanova Msde NPPES

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

LARISA JDANOVA MSDE (NPI 1649689977) is an individual specialist in Brooklyn, New York, licensed in New York (2598598) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1649689977
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLARISA JDANOVACredential: MSDE
Location Address1580 DAHILL RD FL 2Brooklyn, NY 11204-3573
Mailing Address55 Racal Ct Fl 3Staten Island, NY 10314-5831 · (347) 272-4898
Fax(718) 375-2472
Sole ProprietorNo
Enumeration DateAugust 12, 2014
NPI 1649689977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 2598598
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.

1580 DAHILL RD FL 2, Brooklyn, NY 11204

Other Names 1

Professional Name (2)Larisa Jdanova Msde

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
1580 DAHILL RD FL 2
BROOKLYN, NY 11204
Case Manager/Care Coordinator
1580 DAHILL RD FL 2
BROOKLYN, NY 11204
Social Worker
1580 DAHILL RD FL 2
BROOKLYN, NY 11204
Case Manager/Care Coordinator
1580 DAHILL RD FL 2
BROOKLYN, NY 11204
Case Manager/Care Coordinator
1580 DAHILL RD FL 2
BROOKLYN, NY 11204

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 Larisa Jdanova's NPI number?

The NPI number for Larisa Jdanova is 1649689977. It was assigned to this individual provider in the NPPES registry on August 12, 2014. The provider is also known as Larisa Jdanova Msde.

Where is Larisa Jdanova located?

Larisa Jdanova practices at 1580 Dahill Rd Fl 2, Brooklyn, NY 11204. The listed phone number is (718) 375-2505.

What is Larisa Jdanova'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 Larisa Jdanova was last updated on August 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.