Dr. Charles Korrol

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

095661 Issued in NY

Legal business name

DR. CHARLES KORROL

Practice address

775 Park Ave
Suite 2009
Huntington, NY 11743-3976

Phone

(631) 549-3888

Fax

(631) 549-0243

NPI assigned

Jan 12, 2009

Last updated

Jan 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles R. Korrol, D.O.NPI 1528070083

Title

Owner

Phone

(631) 549-3888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Reuben Korrol, DO

  • Child & Adolescent Psychiatry Physician
  • Huntington, NY
  • NPI 1528070083
  NPD (past) Authorized official

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1902043029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 2009",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-549-3888",
            "fax_number": "631-549-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 2009",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-549-3888",
            "fax_number": "631-549-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHARLES KORROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "KORROL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-549-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "095661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P10",
            "identifier": "382591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Marie Dounelis, LCSW
• Jennifer Catherine Dowd, LPN
• Brian Doxey
• Dr Jesse Contovasilis MD PC
• Dr John R Viviani DDS, P.C.
• Dr. Jaime M. Poulos, DDS P.C.
• Dr. John D. Iamele OD PC
• Dr. Shalini Patcha, M.D. P.C.
• Elizabeth Drago, M.A., BCBA
• Robert J Drago, PH.D.

• Psychiatry Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.