Individual
JEANNE MARY COURBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
6143 JERICHO TPKE, SUITE 102, COMMACK, NY 11725-2852
(631) 864-7380
(631) 864-7381
Mailing address
6143 JERICHO TPKE, SUITE 102, COMMACK, NY 11725-2852
(631) 864-7380
(631) 864-7381
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
006166
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02832740
—
NY
Enumeration date
07/14/2006
Last updated
03/20/2008
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