Lareta Mirzadjanyan

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1651 Coney Island Ave
Brooklyn, NY 11230-5849

Phone

(718) 998-1415

NPI assigned

Aug 29, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1881094589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PARKWAY",
            "address_2": "APT 8D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358330",
            "telephone_number": "347-971-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305849",
            "telephone_number": "718-998-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZADJANYAN",
        "first_name": "LARETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samina Yasmin Mirza, M.D.
• Sheharyar Mirza, PHARMD
• Verda Sohail Mirza
• Zunaira R Mirza
• Maryam Mirzaagha, C.M
• Yulduzkhon Mirzaeva
• Sholomo Mirzakandov
• Susan Mirzakandov, PHARMD
• Delaram Mirzania, MD
• Valdete Mirzo

• Pediatric Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.