Individual
ANNA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
200 W 57TH ST, NEW YORK, NY 10019-3211
(201) 817-9786
Mailing address
200 W 57TH ST, NEW YORK, NY 10019-3211
(201) 817-9786
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
09/01/2025
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