Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. REVAY O CORBETT, ATC, PHD
Active Sole ProprietorPROF. REVAY O CORBETT, ATC, PHD is a Sports Medicine (PM&R) healthcare provider located in BRENTWOOD, New York. NPI 1952926743 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · BRENTWOOD, NY
Registration Details
- NPI Number
- 1952926743
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2020 (6.2263246893325 yrs)
- Last Updated
- Jun 14, 2020
- License
-
002418 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
185 NOBLE STBRENTWOOD, NY, 117176512Browse NY providers · Browse ZIP 11717
- Phone
- 9293523824
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.