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

MRS. COREY E ENNIS, PA

Active

MRS. COREY E ENNIS, PA is a Physician Assistant healthcare provider located in BALLSTON LAKE, New York. NPI 1912392192 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BALLSTON LAKE, NY

Registration Details

NPI Number
1912392192
Provider Type
Individual
Gender
Female
NPI Issued
Apr 3, 2015 (11.182745977514 yrs)
Last Updated
Oct 17, 2022

Practice Information

Address
1184 STATE ROUTE 50
BALLSTON LAKE, NY, 120191923
Browse NY providers · Browse ZIP 12019
Phone
5183841281
Fax
5183840321
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BALLSTON LAKE, NY

Name Credential NPI
JAMES ANDERSON 1932314218
JENNIFER MCGETRICK PA 1366756256
TERRI ANNE LEFEVER PA-C 1346801636
JULIA KRISTINE RUTHERFORD PA-C 1326788910
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.