MEDICARE: DR. MARIAN LARKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	227331	NY

General Provider Information

NPI Number	:	1871679712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIAN LARKIN MD

Provider Business Mailing Address
First Line	:	3525 78TH ST APT 2
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-4713
Country	:	US
Telephone Number	:	347-262-0528
Fax Number	:	718-991-2931

Provider Business Practice Location Address
First Line	:	4209 28TH ST # CN-25
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-4130
Country	:	US
Telephone Number	:	646-385-2431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	03/23/2021

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