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Individual

DR. ROLAND MCMANUS LARKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2094 ALBANY POST RD, BUILDING 12, ROOM 124, MONTROSE, NY 10548-1454
(914) 737-4400
Mailing address
2094 ALBANY POST RD, BUILDING 13, ROOM 10, MONTROSE, NY 10548-1454
(914) 737-4400

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400591
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02136478
NY
Enumeration date
07/21/2006
Last updated
06/08/2009
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