Provider Demographics
NPI:1346250081
Name:LARKIN, RICHARD S (DPM)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:S
Last Name:LARKIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W THOMAS ST
Mailing Address - Street 2:ROME PODIATRY GROUP
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-4149
Mailing Address - Country:US
Mailing Address - Phone:315-336-5562
Mailing Address - Fax:315-336-6985
Practice Address - Street 1:321 W THOMAS ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-4149
Practice Address - Country:US
Practice Address - Phone:315-336-5562
Practice Address - Fax:315-336-6985
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002816213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT89554Medicare UPIN