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DR. DAVID LAWRENCE MCCORVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 CENTERWAY, CORNING, NY 14830
(607) 936-9971
(607) 936-2600
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
232184-1
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
MD424345
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02576121
NY
05
1010463660001
PA
01
CC8362
RR MEDICARE GROUP
NY
01
CC9269
RR MEDICARE GROUP
PA
01
GU039880
PA MEDICARE GROUP
PA
01
P00196065
RR MEDICARE PIN
NY
01
P00198743
RR MEDICARE PIN
PA
Enumeration date
02/02/2006
Last updated
09/15/2011
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