Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N002816 | NY |
Y | 222Z00000X | Podiatrist | N002816 | NY |
N | 213ES0131X | Foot Surgery | N002816 | NY |
NPI | 1346250081 |
---|---|
Provider Name | Richard S. Larkin |
First Address | Rome, NY 13440-4149 |
Second Address | Rome, NY 13440-4149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 17/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T89554 | (02) | NY |