Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 002451 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 043618 | CT |
Y | 207RI0011X | Interventional Cardiology | 002451 | NY |
N | 207RI0011X | Interventional Cardiology | 043618 | CT |
N | 207RI0011X | Interventional Cardiology | DR.0042596 | CO |
NPI | 1003988643 |
---|---|
Provider Name | Dr. Nicola Corvaja |
First Address | Cortlandt Manor, NY 10567-4144 |
Second Address | New York, NY 10032-3729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 14/02/2022 |