Individual
DR. CAROL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W 57TH ST, 16TH FL, NEW YORK, NY 10019-3211
(212) 247-8100
(212) 247-8093
Mailing address
200 W 57TH ST, 16TH FL, NEW YORK, NY 10019-3211
(212) 247-8100
(212) 247-8093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
156572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C2475
HEALTH NET
NY
01
—
133010833
MULTIPLAN
NY
01
—
156572
HIP
NY
01
—
430675N
CIGNA
NY
01
—
655248001
UNITED HEALTH CARE
NY
01
—
88D131
EMPIRE BC BS
NY
01
—
LC6572
ATLANTIS
NY
01
—
NP278
OXFORD
NY
Enumeration date
01/08/2007
Last updated
09/14/2012
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