| Paul A. Corley, M.d., P.c. | |
|
1 Cross Island Plz Suite 220a Rosedale NY 11422-1484 | |
| (718) 541-1449 | |
| (718) 712-3343 |
| Full Name | Paul A. Corley, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Cross Island Plz, Rosedale, New York |
| Authorized Official Name and Position | Paul Corley (PRESIDENT) |
| Authorized Official Contact | 7185411449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A. Corley, M.d., P.c. 11064 Queens Blvd #129 Forest Hills NY 11375-6347 Ph: (718) 541-1449 | Paul A. Corley, M.d., P.c. 1 Cross Island Plz Suite 220a Rosedale NY 11422-1484 Ph: (718) 541-1449 |
| NPI Number | 1366617763 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Medicare PECOS PAC ID | 2466592605 |
|---|---|
| Medicare Enrollment ID | O20091218000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366617763 | NPI | - | NPPES |
| 000196040101 | Other | HEALTH PLUS | |
| P2491206 | Other | OXFORD | |
| 522BA1 | Other | NY | EMPIRE BC/BS |
| 363784 | Other | MHN | |
| 7353654 | Other | VALUE OPTIONS | |
| 01757693 | Medicaid | NY | |
| 330553 | Other | NY | CMS WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 174562 (New York) | Primary |
| Provider Name | Paul A Corley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821078460 PECOS PAC ID: 7113067356 Enrollment ID: I20091218000088 |
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