Individual
DR. JACOB C LASALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
281 BROADWAY, 2ND FLOOR, NEW YORK, NY 10007-2056
(646) 596-7386
(646) 360-2739
Mailing address
281 BROADWAY, 2ND FLOOR, NEW YORK, NY 10007-2056
(646) 596-7386
(646) 360-2739
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
285753
NY
Other
Enumeration date
05/14/2014
Last updated
04/23/2021
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