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Organization
PAUL A. CORLEY, M.D., P.C.
Active
Organization
PAUL A. CORLEY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CORLEY M.D. (PRESIDENT)
(718) 541-1449
Entity
Organization
Contact information
Practice address
1 CROSS ISLAND PLZ, SUITE 220A, ROSEDALE, NY 11422-1484
(718) 541-1449
(718) 712-3343
Mailing address
11064 QUEENS BLVD, #129, FOREST HILLS, NY 11375-6347
(718) 541-1449
(718) 712-3343
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
174562
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000196040101
HEALTH PLUS
—
05
—
01757693
—
NY
01
—
330553
CMS WELLCARE
NY
01
—
363784
MHN
—
01
—
522BA1
EMPIRE BC/BS
NY
01
—
7353654
VALUE OPTIONS
—
01
—
P2491206
OXFORD
—
Enumeration date
04/25/2008
Last updated
04/25/2008
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