DR. CHARLES REUBEN KORROL (NPI# 1528070083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528070083 |
| Entity Type | Individual |
| Full Name | DR. CHARLES REUBEN KORROL |
| Credential | DO |
| Practice Address |
775 Park Ave Suite 200-9 Huntington NY 11743-3976 |
| Practice Telephone | 6315493888 |
| Practice Fax Number | 6315490243 |
| Mailing Telephone | 6315493888 |
| Mailing Fax Number | 6315490243 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2010-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
095661 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00625470 | 05 |
| Street Address |
775 PARK AVE SUITE 200-9 |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-3976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811167 | Paul Joseph Sorell IIi | Physical Medicine & Rehabilitation | 775 Park Ave, Ste 155, Huntington, NY 11743-3976 | 2005-06-16 |
| 1477071850 | Atrium Chemist Inc | Pharmacy | 775 Park Ave, Huntington, NY 11743-3976 | 2017-09-06 |
| 1265808257 | Moshe Suyunov | Pharmacist | 775 Park Ave, Huntington, NY 11743-3976 | 2015-08-13 |
| 1699020545 | Michael J Rosen M D P C | Psychiatry & Neurology | 775 Park Ave, Suite 155, Huntington, NY 11743-3976 | 2012-07-17 |
| 1174880561 | Susan Rachael Palmich | Social Worker | 775 Park Ave, Suite 255, Huntington, NY 11743-3976 | 2012-04-23 |
| 1417237009 | Leila Tahririan | Pharmacist | 775 Park Ave, Huntington, NY 11743-3976 | 2011-08-26 |
| 1619270238 | Atrium Rx Pharmacy Corp | Pharmacy | 775 Park Ave, Huntington, NY 11743-3976 | 2010-12-21 |
| 1457661969 | Phyliss A Martoccia | Nurse Practitioner | 775 Park Ave, Suite 101, Huntington, NY 11743-3976 | 2010-10-18 |
| 1073826418 | Noah Zinkin Md PC | Specialist | 775 Park Ave, Suite 225, Huntington, NY 11743-3976 | 2010-07-14 |
| 1154633295 | Lawrence L. Mailloux | Dentist | 775 Park Ave, Suite 135, Huntington, NY 11743 | 2010-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
| 1205900669 | Liat J Jarkon | Psychiatry & Neurology | 151 W Carver St, Huntington, NY 11743-3352 | 2006-11-20 |
| 1811988363 | Cathy Jo Lore | Psychiatry & Neurology | 55 Horizon Dr, Huntington, NY 11743-4436 | 2005-11-03 |
| 1457556920 | Kenneth M Fink Md Inc | Psychiatry & Neurology | 1112 Sixth Avenue, Huntington, WV 25701 | 2007-06-15 |
| 1811023203 | Ruxandra C Badescu | Psychiatry & Neurology | 790 Park Ave, Stepping Stones, Huntington, NY 11743-4516 | 2007-02-27 |
| 1245395151 | Marc Weil Reitman | Psychiatry & Neurology | 755 New York Ave, Suite 200, Huntington, NY 11743-4240 | 2006-12-22 |
| 1144329533 | Frantz Narhum Moise | Psychiatry & Neurology | 775 Park Ave, Ste 200-11, Huntington, NY 11743-3976 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
| 1710389069 | John F. Erhart Md PC | Psychiatry & Neurology | 85 Summit Dr, Rochester, NY 14620-3129 | 2014-09-18 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.