Healthcare Provider Details

I. General information

NPI: 1083665442
Provider Name (Legal Business Name): JAMES A STOREY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAMES ANDREW STOREY MD

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ATWELL RD
COOPERSTOWN NY
13326-1301
US

IV. Provider business mailing address

1 ATWELL RD
COOPERSTOWN NY
13326-1301
US

V. Phone/Fax

Practice location:
  • Phone: 607-547-3180
  • Fax: 607-547-6857
Mailing address:
  • Phone: 607-547-3456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD062765L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number287669
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD069265L
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number287669
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: