Individual
DR. INNA E LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(650) 380-7194
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(650) 380-7194
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
296717
NY
208D00000X
General Practice Physician
A141604
CA
Other
Enumeration date
08/05/2014
Last updated
07/11/2022
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