Daniel Larson M.D.

NPI 1083628614 - Family Medicine - 207Q00000X

NPI Details
NPI 1083628614
Gender Male
Enumeration Date 07/28/2006
Last Updated 07/31/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
6223 ROUTE 9
CHESTERTOWN NY, 12817, US
Phone (518) 494-2761
Fax (518) 494-3541
Business Location
1 BROAD STREET PLZ
PO BOX 357
GLENS FALLS NY, 12801-4390, US
Phone (518) 761-0300
Fax (518) 745-1378
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 138120
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According to our database, Daniel Larson M.D. NPI is 1083628614, taxonomy code is 207Q00000X and license number is 138120, license state is located at New York. Daniel Larson M.D. physically located at 6223 Route 9, Chestertown NY, 12817. NPI Number Daniel Larson M.D. has the Individual type.

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1083628614 NPI number is provided on an as is basis without warranty of any kind. 1083628614 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Larson M.D. are for informational purposes only.