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NPI Code Detail

MEDICARE: CORINNE KOHRHERR FNP, LAC

MEDICARE:   CORINNE  KOHRHERR  FNP, LAC
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
1171100000XAcupuncturistKO000633PA
2171100000XAcupuncturist25MZ00075300NJ
3363LF0000XFamily Nurse PractitionerSP017446PA
4363LF0000XFamily Nurse Practitioner26NJ00719100NJ
5363LF0000XFamily Nurse PractitionerF341215NY
6171100000XAcupuncturist004118NY

General Provider Information

NPI Number : 1356658157
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE KOHRHERR FNP, LAC
Provider Business Mailing Address
First Line : 481 8TH AVE STE 610
Second Line :
City : NEW YORK
State : NY
Zip : 10001-1809
Country : US
Telephone Number : 646-484-9335
Fax Number :
Provider Business Practice Location Address
First Line : 481 8TH AVE STE 610
Second Line :
City : NEW YORK
State : NY
Zip : 10001-1809
Country : US
Telephone Number : 646-484-9335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2010
Last Update Date : 01/11/2019

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