| Doctor Name: | DR. JARED SCOTT CORRIEL |
| NPI Number: | 1518108182 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 233204 |
| Business Practice Address: | 206 Route 303 Valley Cottage, NY - 109892019 |
| Business Phone Number: | 8452680880 |
| Business Fax Number: | 8452680882 |
| Mailing Address: | 155 Crystal Run Rd, MIDDLETOWN |
| State: | NY |
| Postal Code: | 109414028 |
| Phone Number: | 8457036999 |
| Fax Number: | 8457036297 |
| NPI Enumeration Date: | 03/11/2009 |
| NPI Last Update Date: | 11/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0901X |
| License Number: | 233204 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Cardiology |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |