Active NPI
Lawrence P Corbett, D.O.
- Neurology Physician
- Albany, NY
National Provider Identifier
1972572121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 116051
- Practice address
- 400 Patroon Creek Blvd
Suite 210
Albany, NY 12206-5012 - Phone
- (518) 459-8106
- Fax
- (518) 489-6441
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 116051 | NY | Primary |
Addresses
Primary practice location
400 Patroon Creek Blvd
Suite 210
Albany, NY 12206-5012
Mailing address
400 Patroon Creek Blvd
Suite 210
Albany, NY 12206-5012
Phone (518) 459-8106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00531833 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1972572121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"address_2": "SUITE 210",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065012",
"telephone_number": "518-459-8106",
"fax_number": "518-489-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"address_2": "SUITE 210",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065012",
"telephone_number": "518-459-8106",
"fax_number": "518-489-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "LAWRENCE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "116051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00531833",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.