Individual provider · Type 1 NPI
Alison J. Corley-Dubose, P.A.
Surgical Physician Assistant · New Hyde Park, NY
NPI number
1760524359
Active
Practice location
27005 76th Ave
New Hyde Park, NY 11040-1433
Mailing address
565 Avenue A, Apt 107
Uniondale, NY 11553-3200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 009806 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1760524359
Alison J. Corley-Dubose, P.A.'s National Provider Identifier is 1760524359, issued on Feb 12, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Hyde Park, NY. The record was last updated on Sep 6, 2011.