Organization
DR. CHARLES KORROL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R. KORROL D.O. (OWNER)
(631) 549-3888
Entity
Organization
Contact information
Practice address
775 PARK AVE, SUITE 2009, HUNTINGTON, NY 11743-3976
(631) 549-3888
(631) 549-0243
Mailing address
775 PARK AVE, SUITE 2009, HUNTINGTON, NY 11743-3976
(631) 549-3888
(631) 549-0243
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
095661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382591
MEDICARE P10
NY
Enumeration date
01/12/2009
Last updated
01/12/2009
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