JONATHAN LARSON

NEW YORK, NY
NPI1639516503
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NY  295418-1)
Enumeration Date2013-05-31
Last Update Date2019-04-25
Business Address
Dr. JONATHAN LARSON M.D.
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029
Phone number: 860-214-4650
Mailing Address
Dr. JONATHAN LARSON M.D.
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029-6504
Phone number: 860-214-4650