Larson, Stacey

Larson, Stacey is an sole proprietor health care provider with primary practice located at 385 Mark Tree Rd , East Setauket NY 11733-1030. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Larson, Stacey can be contacted via phone (631) 807-8511.

Contact Information

Primary practice address
385 Mark Tree Rd East Setauket NY 11733-1030
Phone: (631) 807-8511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1700148269
LBN Legal business name Larson, Stacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 12 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.

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