Individual
JOSEPHINE LA CORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 OAK ST, COPIAGUE, NY 11726-3111
(631) 257-5173
Mailing address
16 GARDEN PL, SHIRLEY, NY 11967-2208
(631) 576-6758
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NY
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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