Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 256856 | NY |
NPI | 1194999532 |
---|---|
Provider Name | Dr. Corey William Hunter |
First Address | New York, NY 10022-2032 |
Second Address | New York, NY 10022-2049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2008 |
Last Update Date | 14/12/2015 |