Individual
CORY EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4344
(716) 893-1010
(716) 893-1010
Mailing address
40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4344
(716) 893-1010
(716) 893-1002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333122
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026535201
UNIVERA
NY
01
—
00026921002
UNIVERA
—
01
—
000560586003
BC/BS
NY
01
—
000560586005
BCBS
—
05
—
02345251
—
NY
01
—
041104000132
FIDELIS
NY
01
—
9512540
IHA
NY
Enumeration date
04/11/2006
Last updated
04/20/2022
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