Individual ProviderCarl LarussonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4198(607) 798-6701PECOS EnrollmentBased on the most recent information from CMS, provider Carl Larusson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1013602010Provider TypeIndividualFull NameLarusson, CarlCredentialDPMGenderMaleSole ProprietorYesEnumeration Date4/6/2023Last Updated4/13/2023Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4198Phone(607) 798-6701FaxUnlisted FaxMailing LocationMailing Address169 Riverside Dr, Binghamton, NY 13905-4198Phone(607) 798-6701FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode211D00000XDescriptionAssistant, PodiatricPodiatric Medicine & Surgery Service ProvidersLicenseUnlisted Issuer