MEDICARE: DR. CORY ROBERT EMBORSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	342149	NY

General Provider Information

NPI Number	:	1154026219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORY ROBERT EMBORSKI MD

Provider Business Mailing Address
First Line	:	101 NICOLLS RD
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11794-0001
Country	:	US
Telephone Number	:	631-444-3880
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 NICOLLS RD
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11794-0001
Country	:	US
Telephone Number	:	631-444-3880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	02/20/2026

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