Individual provider · Type 1 NPI
Stacey Larson
Specialist · East Setauket, NY
NPI number
1700148269
Active
Practice location
385 Mark Tree Rd
East Setauket, NY 11733-1030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
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 1700148269
Stacey Larson's National Provider Identifier is 1700148269, issued on Jun 11, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Setauket, NY. The record was last updated on Jun 11, 2012.