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LARISSA WERTALIK DO NPI 1295267458


NPI Information

NPI: 1295267458
Provider Name: LARISSA WERTALIK, DO
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
47 NEW SCOTLAND AVE
DEPARTMENT OF PEDIATRICS
ALBANY, NY
ZIP 12208
Phone: (518) 262-6248
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Larissa Wertalik, DO is a pediatrics in Albany, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Larissa Wertalik, DO NPI is 1295267458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

47 NEW SCOTLAND AVE
DEPARTMENT OF PEDIATRICS
ALBANY, NY
ZIP 12208
Phone: (518) 262-6248

The NPI 1295267458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2017 and was last updated on 2/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics305439NEW YORKNo
2208000000XPediatrics34.015369OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.