Active NPI
Henrika Consuela Lacorbiniere, M.D.
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1184909442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 115619
- Practice address
- 259 Bristol Street
Suite #241
Brooklyn, NY 11212 - Phone
- (718) 495-7273
- Fax
- (718) 495-8294
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 115619 | NY | Primary |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | E2265 | TX |
Addresses
Primary practice location
259 Bristol Street
Suite #241
Brooklyn, NY 11212
Mailing address
915 Greenlawn Ave.
Islip Terrace, NY 11752
Phone (646) 823-5198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115619 | NY | MD | Pediatrics Physician |
| E2265 | TX | MD | Pediatric Neurodevelopmental Disabilities Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1184909442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 GREENLAWN AVE.",
"city": "ISLIP TERRACE",
"state": "NY",
"postal_code": "11752",
"telephone_number": "646-823-5198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 BRISTOL STREET",
"address_2": "SUITE #241",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11212",
"telephone_number": "718-495-7273",
"fax_number": "718-495-8294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACORBINIERE",
"first_name": "HENRIKA",
"middle_name": "CONSUELA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "115619",
"primary": true
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "TX",
"license": "E2265",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.