Individual
DR. CHARLES REUBEN KORROL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
775 PARK AVE, SUITE 200-9, HUNTINGTON, NY 11743-3976
(631) 549-3888
(631) 549-0243
Mailing address
775 PARK AVE, SUITE 200-9, HUNTINGTON, NY 11743-3976
(631) 549-3888
(631) 549-0243
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
095661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00625470
—
NY
Enumeration date
08/13/2006
Last updated
04/20/2010
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