Individual
COREY HOUGHTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5688 W WAUTOMA BEACH RD, HILTON, NY 14468-9126
(585) 944-6317
Mailing address
5688 W WAUTOMA BEACH RD, HILTON, NY 14468-9126
(585) 944-6317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031072
NY
Other
Enumeration date
10/23/2023
Last updated
03/08/2024
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