Lasalle, Garrett S.

Lasalle, Garrett S. is an sole proprietor health care provider with primary practice located at 40 Kings Dr , Tuxedo Park NY 10987-5505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Lasalle, Garrett S. can be contacted via phone (845) 524-3512.

Contact Information

Primary practice address
40 Kings Dr Tuxedo Park NY 10987-5505
Phone: (845) 524-3512
Fax: (845) 524-3511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TP781 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42969 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TD061090 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 240055 New York
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 35.120779 Ohio
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 240055 New York

Profile Details

NPI number 1922114578
LBN Legal business name Lasalle, Garrett S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Aug 29th, 2022 - about 2 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 1922114578 NPPES
Kentucky MEDICAID 7100079430

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