| Organization Name: | CORRY MEDICAL SERVICES, INCL |
| NPI Number: | 1538240684 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL HELLER (CFO) |
| Mailing Address: | 354 Clymer Corry Rd Clymer |
| State: | NY US |
| Postal Code: | 147249701 |
| Phone Number: | 7163352248 |
| Fax Number: | 7163554499 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 07/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |