Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Larsen, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083507578

Jacob Larsen, DPM is a Student in an Organized Health Care Education/Training Program in Binghamton, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

169 Riverside Dr
Binghamton, NY 13905-4246
Phone: (607) 775-0760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083507578
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateMay 30, 2025

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