Individual
MR. LARRY D. BARTLETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SPECALIST
Contact information
Practice address
1149 SULLIVAN ST STE B, ELMIRA, NY 14901-1670
(607) 733-7661
(607) 733-7675
Mailing address
1149 SULLIVAN ST STE B, ELMIRA, NY 14901-1670
(607) 733-7661
(607) 733-7675
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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