National Provider Identifier
Larry Sorrell, MD
Larry Sorrell, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1710372867
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- April 04, 2015
- Last Updated
- September 29, 2021
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4011
Mailing Address
- PO Box 2283
- Moultrie, GA 31776-2283
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1710372867
- Entity Type
- Individual
- Last Name
- Sorrell
- First Name
- Larry
- Credential
- MD
- Mailing Street Address
- PO Box 2283
- Mailing City
- Moultrie
- Mailing State
- GA
- Mailing ZIP Code
- 31776-2283
- Mailing Country
- US
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Enumeration Date
- April 04, 2015
- Last Updated
- September 29, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 29, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)