Individual
VINCENT A LASALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
LAFAYETTE MEDICAL, 599 ROUTE 32, HIGHLAND MILLS, NY 10930
(845) 928-2550
(845) 928-7228
Mailing address
LAFAYETTE MEDICAL, 599 ROUTE 32 P O BOX 429, HIGHLAND MILLS, NY 10930
(845) 928-2550
(845) 928-7228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1004980
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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