Organization
COREY BICKOFF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY IAN BICKOFF MD (OWNER)
(516) 223-3337
Entity
Organization
Contact information
Practice address
294 W MERRICK RD, SUITE 5, FREEPORT, NY 11520-3374
(516) 223-3337
Mailing address
294 W MERRICK RD, SUITE 5, FREEPORT, NY 11520-3374
(516) 223-3337
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
205730
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388B81
MC PTAN
NY
Enumeration date
02/22/2013
Last updated
02/22/2013
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