Corriel, Jared Scott

Corriel, Jared Scott is an individual health care provider with primary practice located at 206 Route 303 , Valley Cottage NY 10989-2019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Corriel, Jared Scott can be contacted via phone (845) 268-0880.

Contact Information

Primary practice address
206 Route 303 Valley Cottage NY 10989-2019
Phone: (845) 268-0880
Fax: (845) 268-0882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 233204 New York
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 233204 New York

Profile Details

NPI number 1518108182
LBN Legal business name Corriel, Jared Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2009
Last updated Jul 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518108182 NPPES
New York MEDICAID 03137877

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