Joseph Allan Larsen D.P.M

NPI 1629193941 - Podiatrist - 213ES0103X

NPI Details
NPI 1629193941
Gender Male
Enumeration Date 03/20/2007
Last Updated 03/24/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
2419 JERICHO TPKE
GARDEN CITY PARK NY, 11040-4710, US
Phone (516) 294-9540
Fax (516) 294-4119
Business Location
2419 JERICHO TPKE
GARDEN CITY PARK NY, 11040-4710, US
Phone (516) 294-9540
Fax (516) 294-4119
Toxanomy
Taxonomy Code 213ES0103X
License State New York
License Number N005321
Remove 1629193941 NPI Number
 

According to our database, Dr. Joseph Allan Larsen D.P.M NPI is 1629193941, taxonomy code is 213ES0103X and license number is N005321, license state is located at New York. Joseph Allan Larsen D.P.M physically located at 2419 Jericho Tpke, Garden City Park NY, 11040-4710. NPI Number Joseph Allan Larsen D.P.M has the Individual type.

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1629193941 NPI number is provided on an as is basis without warranty of any kind. 1629193941 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Allan Larsen D.P.M are for informational purposes only.