Individual
DR. CHARLES V. COREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
145676-1
NY
2086S0120X
Pediatric Surgery Physician
145676
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00973744
—
NY
Enumeration date
06/03/2006
Last updated
12/11/2015
Update your record
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