Mario E Lacouture (NPI# 1679563324, PAC ID# 6204867674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1679563324 |
| PAC ID by PECOS | 6204867674 |
| Professional Enrollment ID | I20091110000290 |
| Full Name | Mario E Lacouture |
| Organization Legal Name | MEMORIAL DERMATOLOGY GROUP |
| Address |
1275 York Ave New York NY 10021-6007 |
| Phone Number | 2126393695 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2007 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1557250818 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330154 | MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES |
| Address | Phone | Organization |
|---|---|---|
| 1275 York Ave, New York, NY 10021-6007 | 2126393695 | MEMORIAL DERMATOLOGY GROUP |
| Organization Legal Name | MEMORIAL DERMATOLOGY GROUP |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Marchetti | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Liang Deng | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Veronica M Rotemberg | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Ashfaq A Marghoob | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Alina Markova | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Catherine M Payulert | Physician Assistant | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Kishwer S Nehal | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Tierra R Hurd | Physician Assistant | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Sarah I Noor | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Erica H Lee | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Street Address |
1275 YORK AVE |
| City | NEW YORK |
| State | NY |
| Zip | 10021-6007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesuel Padro-guzman | Physical Medicine and Rehabilitation | Memorial Neurology Group | 1275 York Ave, New York, NY 10065-6007 |
| Zana Correa | Nurse Practitioner | Memorial Medical Consultation Group | 1275 York Ave, New York, NY 10065-6094 |
| Nicole N Reynolds | Nurse Practitioner | Mskcc Radiology Group | 1275 York Ave, New York, NY 10065-6007 |
| Rachel T Freeman | Physician Assistant | Mskcc Surgery Group | 1275 York Ave, New York, NY 10065-6094 |
| Michael A Marchetti | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Alison G Massey | Nurse Practitioner | Memorial Solid Tumor Group | 1275 York Ave, New York, NY 10065-6007 |
| Amy P Vatanapradit | Nurse Practitioner | Mskcc Radiology Group | 1275 York Ave, New York, NY 10065-6007 |
| Michael Scordo | Hematology/oncology | Mskcc Clinical Practice Plan | 1275 York Ave, New York, NY 10065-6007 |
| Amparo G Camacho | Nurse Practitioner | Mskcc Surgery Group | 1275 York Ave, New York, NY 10065-6094 |
| Vicky Chiang | Internal Medicine | Memorial Medical Consultation Group | 1275 York Ave, New York, NY 10065-6094 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aida Hippolyte Saliby | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Michele Yeung | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Pangiota Andreopoulou | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Brian D Schwartz | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Melissa D Katz | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Anthony Hollenberg | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Tiffany Yeh | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Megan J Ritter | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Felicia A Mendelsohn Curanaj | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Amy Lam | Nurse Practitioner | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Find all physicians in zip 10021 | |||
| City | NEW YORK |
| Zip Code | 10021 |
| Specialty | DERMATOLOGY |
| City + Specialty | NEW YORK + DERMATOLOGY |
Please comment or provide details below to improve the information on Mario E Lacouture.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.