Individual
COREY PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2346
(917) 517-8901
Mailing address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2346
(917) 517-8901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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