Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tara N Corso, PA-C

Individual provider Physician Assistant · NPI 1104102920

Mrs. Tara N Corso, PA-C is a Physician Assistant in New York, New York. Qualified in 2011, 15 years ago. Practices with Memorial Gastroenterology Group, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

525 E 68th St
New York, NY 10065
Phone: (212) 746-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015258 (NY)

Record details

NPI number1104102920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 25, 2011
Last updated in NPPESFebruary 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Memorial Gastroenterology Group — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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