Individual
COREY A MCCUTCHEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 GRIFFING AVE, WESTHAMPTON BEACH, NY 11978-2305
(917) 474-0263
Mailing address
55 GRIFFING AVE, WESTHAMPTON BEACH, NY 11978-2305
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
22MC1381312
NY
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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