Individual
DR. EDWARD ALEXANDER LACORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
811 SOUTHERN BLVD, BRONX, NY 10459-5202
(718) 924-2552
Mailing address
220 MANHATTAN AVE, APT 4K, NEW YORK, NY 10025-2623
(607) 316-2846
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007791-1
NY
Other
Enumeration date
07/07/2011
Last updated
09/11/2020
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