Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 134938-1 | NY |
N | 111NI0900X | Internist | 134938-1 | NY |
N | 207RG0300X | Geriatric Medicine | 134938-1 | NY |
NPI | 1093881013 |
---|---|
Provider Name | Dr. Cornelius James Foley |
First Address | Great Neck, NY 11021-4433 |
Second Address | New Hyde Park, NY 11040-1436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F16362 | (02) | NY |