National Provider Identifier
Larisa Khishchenko, M.D.
Larisa Khishchenko, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 338-2530.
Profile Overview
- NPI
- 1851321855
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 04, 2006
- Last Updated
- May 04, 2021
Practice Location
- 485 Titus Ave
- Ste H
- Rochester, NY 14617-3535
Phone: (585) 338-2530
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1851321855
- Entity Type
- Individual
- Last Name
- Khishchenko
- First Name
- Larisa
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 485 Titus Ave
- Mailing Address Line 2
- Ste H
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-3535
- Mailing Country
- US
- Mailing Phone
- (585) 338-2530
- Mailing Fax
- (585) 338-7304
- Practice Street Address
- 485 Titus Ave
- Practice Address Line 2
- Ste H
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-3535
- Practice Country
- US
- Practice Phone
- (585) 338-2530
- Practice Fax
- (585) 338-7304
- Enumeration Date
- July 04, 2006
- Last Updated
- May 04, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 05, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 102621BJ (NY, Preferred Care), 01584647 (NY), P010180528 (NY, Blue Choice), P050180528 (NY, Bc/Bs)