Individual
CRAIG BRADY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2425 EASTCHESTER RD, BRONX, NY 10469-5932
(631) 751-3000
(631) 751-0506
Mailing address
1 RESEARCH RD, RIDGE, NY 11961-2701
(631) 751-3000
(631) 751-0506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
312053
NY
Other
Enumeration date
04/16/2015
Last updated
08/16/2022
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