Healthcare Provider Details

I. General information

NPI: 1942531165
Provider Name (Legal Business Name): LARISA ZELTSER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 OCEAN PKWY
BROOKLYN NY
11235-7745
US

IV. Provider business mailing address

2601 OCEAN PKWY # 3E1
BROOKLYN NY
11235-7745
US

V. Phone/Fax

Practice location:
  • Phone: 172-616-5008
  • Fax:
Mailing address:
  • Phone: 718-616-5008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number579159
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: