Individual
LARRY TETSOTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 BRIGHTON 11TH ST STE 601, BROOKLYN, NY 11235-5308
(646) 417-4205
Mailing address
23 BRIGHTON 11TH ST STE 601, BROOKLYN, NY 11235-5308
(718) 336-6166
(718) 336-6178
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
214196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02203450
—
NY
Enumeration date
05/22/2006
Last updated
08/10/2023
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