Egan, Cory

Egan, Cory is an individual health care provider with primary practice located at 40 La Riviere Dr Ste 201 , Buffalo NY 14202-4344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Egan, Cory can be contacted via phone (716) 893-1010.

Contact Information

Primary practice address
40 La Riviere Dr Ste 201 Buffalo NY 14202-4344
Phone: (716) 893-1010
Fax: (716) 893-1010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F333122 New York

Profile Details

NPI number 1578526240
LBN Legal business name Egan, Cory
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Apr 20th, 2022 - about 2 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 1578526240 NPPES
New York Other 041104000132 FIDELIS
New York Other 9512540 FIDELIS
New York Other 000560586005 FIDELIS
New York Other 00026535201 FIDELIS
New York Other 000560586003 FIDELIS
New York MEDICAID 02345251 FIDELIS
New York Other 00026921002 FIDELIS

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