| Dr. Charles Korrol | |
|
775 Park Ave Suite 2009 Huntington NY 11743-3976 | |
| (631) 549-3888 | |
| (631) 549-0243 |
| Full Name | Dr. Charles Korrol |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 775 Park Ave, Huntington, New York |
| Authorized Official Name and Position | Charles R. Korrol (OWNER) |
| Authorized Official Contact | 6315493888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Charles Korrol 775 Park Ave Suite 2009 Huntington NY 11743-3976 Ph: (631) 549-3888 | Dr. Charles Korrol 775 Park Ave Suite 2009 Huntington NY 11743-3976 Ph: (631) 549-3888 |
| NPI Number | 1902043029 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 01/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902043029 | NPI | - | NPPES |
| 382591 | Other | NY | MEDICARE P10 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 095661 (New York) | Primary |
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