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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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.