National Provider Identifier
Mallorie Larson
Mallorie Larson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Amherst, NY and a listed phone number of (516) 776-0986.
Profile Overview
- NPI
- 1508399734
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 05, 2017
- Last Updated
- April 05, 2017
Practice Location
- 71 Jasper Dr
- Amherst, NY 14226-4133
Phone: (516) 776-0986
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1508399734
- Entity Type
- Individual
- Last Name
- Larson
- First Name
- Mallorie
- Mailing Street Address
- 71 Jasper Dr
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-4133
- Mailing Country
- US
- Practice Street Address
- 71 Jasper Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-4133
- Practice Country
- US
- Practice Phone
- (516) 776-0986
- Enumeration Date
- April 05, 2017
- Last Updated
- April 05, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)