Individual
DR. JOHN G LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1245 PARK AVE, C/O UPTOWN PEDIATRICS, NEW YORK CITY, NY 10128
(212) 427-0540
(212) 534-1086
Mailing address
1245 PARK AVE, C/O UPTOWN PEDIATRICS, NEW YORK CITY, NY 10128
(212) 427-0540
(212) 534-1086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
129356
NY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
129356
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00686035
—
NY
Enumeration date
10/11/2006
Last updated
09/11/2025
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