Individual provider · Type 1 NPI

Jared C. Lacorte, MD

Specialist · Staten Island, NY

NPI number 1497718209 Active

Practice location

2500 Victory Blvd
Staten Island, NY 10314-6641

Call (718) 983-1496 Map

Fax (718) 982-6309

Mailing address

349 E Northfield Rd
Livingston, NJ 07039-4802

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X207563 (NM)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497718209

Jared C. Lacorte, MD's National Provider Identifier is 1497718209, issued on Apr 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Nov 13, 2014.