Larsen, John G
Larsen, John G is an individual health care provider with primary practice located at 1245 Park Ave C/O Uptown Pediatrics, New York City NY 10128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Larsen, John G can be contacted via phone (212) 427-0540.Contact Information
Primary practice address
1245 Park Ave C/O Uptown Pediatrics
New York City NY 10128
Phone: (212) 427-0540
Fax: (212) 534-1086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 129356 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 129356 | New York |
Profile Details
| NPI number | 1700974169 |
|---|---|
| LBN Legal business name | Larsen, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700974169 | NPPES |
| New York | MEDICAID | 00686035 |
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