Individual
DANIEL C LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6223 ROUTE 9, CHESTERTOWN, NY 12817-0747
(518) 494-2761
(518) 494-3541
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
138120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01188614
—
NY
Enumeration date
07/28/2006
Last updated
02/10/2017
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