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Contact Information

REVAY O CORBETT, ATC, PHD
185 NOBLE ST
BRENTWOOD, NY11717-6512
 Phone: 929-352-3824
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for REVAY O CORBETT · (Female)

NPI Number 1952926743
Status Active
Credentials ATC, PHD
Entity Individual
Enumeration date 06/08/2020
Last updated 06/14/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 002418
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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