Physician Compare National (NPI:1821078460)

HEALTHCARE PROVIDER: PAUL ANTHONY CORLEY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821078460
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113067356
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091218000088
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CORLEY
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1 CROSS ISLAND PLZ
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 220A
	Group Practice or individual's line 2 address
City	ROSEDALE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	114223455
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y