Individual
ALEXIS LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
162 JEFFERSON AVE, SAINT JAMES, NY 11780-2921
(631) 637-5347
Mailing address
162 JEFFERSON AVE, SAINT JAMES, NY 11780-2921
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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