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Individual

JOHN C CORBELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6460 MAIN ST, BUFFALO CARDIOLOGY & PULMANARY ASSOC PC, WILLIAMSVILLE, NY 14221-5838
(716) 634-5100
(716) 634-5134
Mailing address
6460 MAIN ST, WILLIAMSVILLE, NY 14221-5838
(716) 634-5100
(716) 634-5134

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
142481
NY
207RI0011X
Interventional Cardiology Physician
Primary
142481
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010035901
UNIVERA
NY
01
000510052001
BLUECROSS COMMUNITY BLUE
NY
01
2101795
INDEPENDENT HEALTH
NY
05
989473
NY
Enumeration date
11/22/2005
Last updated
02/12/2010
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