Individual
DR. JARED SCOTT CORRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 ROUTE 303, VALLEY COTTAGE, NY 10989-2019
(845) 268-0880
(845) 268-0882
Mailing address
206 ROUTE 303, VALLEY COTTAGE, NY 10989-2019
(845) 268-0880
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
233204
NY
207UN0901X
Nuclear Cardiology Physician
233204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03137877
—
NY
Enumeration date
03/11/2009
Last updated
07/25/2016
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