Organization
CORRY MEDICAL SERVICES, INC
Active
Parent organization
CORRY MEDICAL SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORRY MEDICAL SERVICES, INC.
Authorized official
MR. MICHAEL HELLER (CFO)
(814) 664-4641
Entity
Organization
Contact information
Practice address
354 CLYMER CORRY RD, CLYMER, NY 14724-9701
(716) 335-2248
(716) 355-4499
Mailing address
PO BOX 21780, BELFAST, ME 04915-4114
(814) 664-4641
(814) 664-7967
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA9106
RAILROAD MEDICARE
—
Enumeration date
10/17/2006
Last updated
05/02/2018
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