Individual
DR. FREDERICK JOHN RIVERA LARMOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
725 VETERAN'S MEMORIAL HWY, BLDG.151 NORTH COUNTY CLINIC, HAUPPAGE, NY 11788
(631) 853-6410
(631) 853-6413
Mailing address
25 ANGELA LN, BAY SHORE, NY 11706-8903
(631) 456-0410
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
146808-1
NY
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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