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Individual

DEBORAH A. CORREALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
206 E BROWN ST, HOSPITALIST DEPARTMENT, EAST STROUDSBURG, PA 18301-3006
(570) 421-4000
(570) 420-2459
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7202

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
011919
NY
363AM0700X
Medical Physician Assistant
Primary
MA003155L
PA
363AM0700X
Medical Physician Assistant
PA001076
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02718725
NY
01
P00457867
RAILROAD MEDICARE
ME
Enumeration date
04/10/2006
Last updated
12/17/2020
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