Individual provider · Type 1 NPI

Larissa Johnosn

Specialist · Valatie, NY

NPI number 1629514211 Active

Practice location

185 Dahlgren Rd Lot 12
Valatie, NY 12184-4719

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X882956141 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629514211

Larissa Johnosn's National Provider Identifier is 1629514211, issued on Jan 6, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Valatie, NY. The record was last updated on Jan 6, 2017.