Individual
DR. PATRICK JOSEPH CORPORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003386
PA
152W00000X
Optometrist
TUV-008607-1
NY
Other
Enumeration date
07/01/2017
Last updated
02/20/2018
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