SearchNew York174400000X

Stacey Larson

NPI 1700148269 · on the registry since 2012 · sole proprietor

Practice

Address
385 Mark Tree Rd
East Setauket, NY 11733
Phone
(631) 807-8511

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York