Deforest Cornish

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

13122 223Rd St
Laurelton, NY 11413-1646

Phone

(347) 715-0477

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1639731599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13122 223RD ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13122 223RD ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131646",
            "telephone_number": "347-715-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNISH",
        "first_name": "DEFOREST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Hope Foundation Dba Community Hope Home Care Services
• Shaneeka Conley
• Sonia Cooke-Figueroa
• Kristine Cooper, NURSE PRACTITIONER
• Sandra Coppin
• Sylvia Cothia
• Sheila Croskey, LCSW-R
• Desiree Cumbermack
• Donyale Cummings
• Paul M D'Amore, PHARMD

• Early Intervention Provider Agency in Laurelton, NY
• Providers in Laurelton, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.