Individual
LAURA CORYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6511 SPRING BROOK AVE, RHINEBECK, NY 12572-3709
(845) 871-3329
(845) 871-4208
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
552590-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
305218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03421652
—
NY
Enumeration date
09/14/2009
Last updated
12/29/2016
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