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General NPI Number Information
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NPI Number | 1285534891
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Entity Type | Individual
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Provider Name | JASON MICHAEL CORBETT D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 147 W MONTAUK HWY
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City | HAMPTON BAYS
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State | NY
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Zip | 11946-4212
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Country | US
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Telephone | 781-775-9407
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Fax |
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Provider Business Mailing Address
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Address Line | 26 BROADWAY STE 934
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City | NEW YORK
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State | NY
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Zip | 10004-1717
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Country | US
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Telephone | 781-775-9407
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 007682
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License Number State | NY
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