Organization
CHRISTOPHER PI CORSA DMD MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CORSA (PRESIDENT)
(650) 204-1357
Entity
Organization
Contact information
Practice address
1401 ROUTE 300 STE 1081, NEWBURGH, NY 12550-6905
(845) 564-9300
Mailing address
432 YORK DR, BENICIA, CA 94510-1425
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
052958
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03204886
—
NY
Enumeration date
06/12/2016
Last updated
06/12/2016
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