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1205947074
METTE LARSEN
RIVERHEAD, NY
NPI
1205947074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 200286)
Enumeration Date
2006-08-31
Last Update Date
2016-12-20
Business Address
-- METTE LARSEN DO
2248 ROANOKE AVE
RIVERHEAD, NY 11901-1822
Phone number: 917-572-9745
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Mailing Address
-- METTE LARSEN DO
300 E MAIN ST
CENTERPORT, NY 11721-1435
Phone number: 631-424-2342
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