Individual
DR. MARIO LACOUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 888-6014
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036113047
IL
207N00000X
Dermatology Physician
Primary
254307
NY
Other
Enumeration date
10/25/2005
Last updated
05/11/2026
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