Justin Lacorte, DO | |
1167 Wantagh Ave, Wantagh, NY 11793-2136 | |
(516) 900-1201 | |
Not Available |
Full Name | Justin Lacorte |
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Gender | Male |
Speciality | Pediatrics |
Location | 1167 Wantagh Ave, Wantagh, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053445346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 236468 (New York) | Primary |
Entity Name | Optum Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Entity Name | Optum Urgent Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
Mailing Address | Practice Location Address |
---|---|
Justin Lacorte, DO 2800 Marcus Ave, New Hyde Park, NY 11042-1113 Ph: (516) 622-6000 | Justin Lacorte, DO 1167 Wantagh Ave, Wantagh, NY 11793-2136 Ph: (516) 900-1201 |
Gina Nicole Cassel, D.O. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1233 Daffodil Ln, Wantagh, NY 11793 Phone: 516-521-7597 | |
Dr. Christine Myers-doran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1167 Wantagh Ave, Wantagh, NY 11793 Phone: 516-900-1201 Fax: 516-900-1202 |