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Contact Information

LARYSSA E LLANIO, PA-C
1 CLARA MAASS DR
BELLEVILLE, NJ07109
 Phone: 973-450-2100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LARYSSA E LLANIO · (Female)

NPI # 1477077402
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/01/2017
Last updated 08/29/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MP00443900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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