Corizon

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

011517-1 Issued in NY

Legal business name

CORIZON

Practice address

4904 19TH Ave
Astoria, NY 11105-1002

Phone

(347) 774-7295

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Campbell

Title

Human Resource Specialist

Phone

(347) 774-7295

Specialties & licenses 1

Addresses

Tax ID family

Corizon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Correctional Medical Associates of Newyork, P.C.

  • Multi-Specialty Clinic/Center
  • Astoria, NY
  • NPI 1669817938
  NPD tax ID

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1770980252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49-04 19 AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "347-774-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 19TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051002",
            "telephone_number": "347-774-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORIZON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "HUMAN RESOURCE SPECIALIST",
        "authorized_official_telephone_number": "347-774-7295",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "011517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Copfer
• Ryan M Corbo, MD
• Rachel W Cordero
• Core Health CCM Corp
• Sarah Kendall Coreas, AU.D.
• Kenneth Correa
• Lilian Maria Correa, MPH, RD, DIPACLM
• Michelle M Correa, SC
• Natalia Correa
• Correctional Dental Associates of New York

• All providers in Astoria, NY
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.