JUSTIN LARSON

STONY BROOK, NY
NPI1952833816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036150740)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  01083756A)
Enumeration Date2017-03-30
Last Update Date2020-08-11
Business Address
JUSTIN LARSON M.D.
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-689-8333
Mailing Address
JUSTIN LARSON M.D.
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-689-8333