Individual
DR. CHAD M. CORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
848 ROUTE 50, BURNT HILLS, NY 12027
(518) 831-1500
(518) 280-8464
Mailing address
848 ROUTE 50, BURNT HILLS, NY 12027-9511
(518) 831-1500
(518) 280-8464
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
279172
NY
207RG0100X
Gastroenterology Physician
AU4158033 1104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04204019
—
NY
Enumeration date
04/28/2009
Last updated
02/12/2024
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