Korrol, Charles Reuben

Korrol, Charles Reuben is an sole proprietor health care provider with primary practice located at 775 Park Ave Suite 200-9, Huntington NY 11743-3976. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Korrol, Charles Reuben can be contacted via phone (631) 549-3888.

Contact Information

Primary practice address
775 Park Ave Suite 200-9 Huntington NY 11743-3976
Fax: (631) 549-0243
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 095661 New York

Profile Details

NPI number 1528070083
LBN Legal business name Korrol, Charles Reuben
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Apr 20th, 2010 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528070083 NPPES
New York MEDICAID 00625470

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