Individual
LOUIS A CORSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 BEDFORD RD, MOUNT KISCO MEDICAL GROUP PC, KATONAH, NY 10536
(914) 232-3135
(914) 242-1516
Mailing address
90 SOUTH BEDFORD RD, MOUNT KISCO MEDICAL GROUP PC, MOUNT KISCO, NY 10549
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
103659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01034913
—
NY
01
—
0667910001
DME
NY
01
—
P00388710
MEDICARE RAILROAD
NY
Enumeration date
10/20/2006
Last updated
11/23/2009
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