STACEY LARSON
NPI 1700148269
Specialist in East Setauket, NY

Active since June 11, 2012
385 MARK TREE RD, EAST SETAUKET, NY 11733(631) 807-8511 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Larson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY LARSON (NPI 1700148269) is an individual specialist in East Setauket, New York and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1700148269
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSTACEY LARSON
Location Address385 MARK TREE RDEast Setauket, NY 11733-1030
Mailing Address385 Mark Tree RdEast Setauket, NY 11733-1030
Sole ProprietorYes
Enumeration DateJune 11, 2012
NPI 1700148269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
385 MARK TREE RD, East Setauket, NY 11733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Larson's NPI number?

The NPI number for Stacey Larson is 1700148269. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Stacey Larson located?

Stacey Larson practices at 385 Mark Tree Rd, East Setauket, NY 11733. The listed phone number is (631) 807-8511.

What is Stacey Larson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stacey Larson was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.