NPI 1003558552

Josephine La Corte

Practitioner Health Maintenance Organization Copiague, NY

Practice location

Address: 445 Oak St, Copiague, NY 11726-3111
Phone: (631) 257-5173
Mailing address: 16 Garden Pl, Shirley, NY 11967-2208

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1003558552
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2022
Record last updated: 13 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.