Dr Douglas Phillip Larsen, DO | |
103 Great Oaks Blvd, Albany, NY 12203 | |
(518) 464-1392 | |
(518) 464-0445 |
Full Name | Dr Douglas Phillip Larsen |
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Gender | Male |
Speciality | Pediatrics |
Location | 103 Great Oaks Blvd, Albany, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417063736 | NPI | - | NPPES |
00427289 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 119564 (New York) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
Mailing Address | Practice Location Address |
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Dr Douglas Phillip Larsen, DO 103 Great Oaks Blvd, Albany, NY 12203 Ph: (518) 464-1392 | Dr Douglas Phillip Larsen, DO 103 Great Oaks Blvd, Albany, NY 12203 Ph: (518) 464-1392 |
Tamara Jennifer Wrzesinski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1092 Madison Ave, Albany, NY 12208 Phone: 518-525-2445 | |
Dr. Patricia Marie Hopkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-0218 Fax: 518-262-4933 | |
Dr. Kallanna Manjunath, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 920 Lark Dr, Albany, NY 12207 Phone: 518-465-4771 Fax: 518-242-4784 | |
Lisa Benay Kamerling, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1092 Madison Ave, St. Peter's Health Care For Children, Albany, NY 12208 Phone: 518-525-2445 Fax: 518-475-7069 | |
Michael T Colon, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 319 S Manning Blvd, Suite 203, Albany, NY 12208 Phone: 518-489-3292 Fax: 518-453-6286 | |
Sarah Kathleen Klaiber Sokil, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 103 Great Oaks Blvd, Albany, NY 12203 Phone: 518-464-1392 | |
Anita Catherine Saldanha, MD PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave, Department Of Pediatrics, Albany, NY 12208 Phone: 518-262-3095 |