Provider Demographics
NPI:1548533714
Name:LAURA CORIO, M.D., PLLC
Entity type:Organization
Organization Name:LAURA CORIO, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-422-0730
Mailing Address - Street 1:113 E 64TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7038
Mailing Address - Country:US
Mailing Address - Phone:646-422-0730
Mailing Address - Fax:646-422-0734
Practice Address - Street 1:113 E 64TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7038
Practice Address - Country:US
Practice Address - Phone:646-422-0730
Practice Address - Fax:646-422-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY141260207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1306940564OtherNPI
NY1306940564OtherNPI