Provider Demographics
NPI:1194387175
Name:DREW, COREY DAVID (DPM)
Entity Type:Individual
Prefix:MR
First Name:COREY
Middle Name:DAVID
Last Name:DREW
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 S.W. 75TH AVENUE - WESTCHESTER GENERAL HOSPITAL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2895
Mailing Address - Country:US
Mailing Address - Phone:484-756-9274
Mailing Address - Fax:305-263-9521
Practice Address - Street 1:2500 S.W. 75TH AVENUE - WESTCHESTER GENERAL HOSPITAL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2895
Practice Address - Country:US
Practice Address - Phone:484-756-9274
Practice Address - Fax:305-263-9521
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program