Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 232184-1 | NY |
N | 2086S0122X | Plastic and Reconstructive Surgery | MD424345 | PA |
NPI | 1154393569 |
---|---|
Provider Name | Dr. David Lawrence Mccorvey |
First Address | Sayre, PA 18840-1625 |
Second Address | Corning, NY 14830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 15/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02576121 | (05) | NY |
1010463660001 | (05) | PA |
CC8362 | RR MEDICARE GROUP (01) | NY |
CC9269 | RR MEDICARE GROUP (01) | PA |
GU039880 | PA MEDICARE GROUP (01) | PA |
I11813 | (02) | |
P00196065 | RR MEDICARE PIN (01) | NY |
P00198743 | RR MEDICARE PIN (01) | PA |