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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEFOREST CORNISH

Active Sole Proprietor

DEFOREST CORNISH is a Early Intervention Provider Agency healthcare provider located in LAURELTON, New York. NPI 1639731599 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · LAURELTON, NY

Registration Details

NPI Number
1639731599
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2019 (7.1627615743623 yrs)
Last Updated
Jul 1, 2019
Sole Proprietor
Yes

Practice Information

Address
13122 223RD ST
LAURELTON, NY, 114131646
Browse NY providers · Browse ZIP 11413
Phone
3477150477
Primary Specialty
Early Intervention Provider Agency
252Y00000X

Other Early Intervention Provider Agency Providers in LAURELTON, NY

Name Credential NPI
MS. SHARON PARKINSON 1356726442
MRS. KARINA FERNANDEZ 1730934654
MELANIE MELENDEZ-LAWRENCE 1942005152
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.