Provider Demographics
NPI:1114206992
Name:LARSON, CYNTHIA ANN (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:LARSON
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:222 ALEXANDER ST
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-4039
Mailing Address - Country:US
Mailing Address - Phone:585-327-5205
Mailing Address - Fax:585-325-4443
Practice Address - Street 1:222 ALEXANDER ST
Practice Address - Street 2:SUITE 2400
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-4039
Practice Address - Country:US
Practice Address - Phone:585-327-5205
Practice Address - Fax:585-325-4443
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY14973207XS0106X
NY014973363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery