Organization
STATEN ISLAND PEDIATRIC CARDIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED C LACORTE MD (OWNER)
(718) 983-1496
Entity
Organization
Contact information
Practice address
2550 VICTORY BLVD, 302, STATEN ISLAND, NY 10314-6611
(718) 983-1496
Mailing address
2550 VICTORY BLVD, 302, STATEN ISLAND, NY 10314-6611
(718) 983-1496
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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