Corbett, Revay O

Corbett, Revay O is an sole proprietor health care provider with primary practice located at 185 Noble St , Brentwood NY 11717-6512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Corbett, Revay O can be contacted via phone (929) 352-3824.

Contact Information

Primary practice address
185 Noble St Brentwood NY 11717-6512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 002418 New York

Profile Details

NPI number 1952926743
LBN Legal business name Corbett, Revay O
Credentials ATC, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2020
Last updated Jun 14th, 2020 - about 5 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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