Provider Demographics
NPI:1245243997
Name:COR CARE INC.
Entity Type:Organization
Organization Name:COR CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAL BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-428-1666
Mailing Address - Street 1:87 103 257TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1415
Mailing Address - Country:US
Mailing Address - Phone:718-428-1666
Mailing Address - Fax:718-428-3102
Practice Address - Street 1:87 103 257TH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1415
Practice Address - Country:US
Practice Address - Phone:718-428-1666
Practice Address - Fax:718-428-3102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197800-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY411Q32OtherEMPIRE BLUE CROSS BLUE SHIELD
NY411Q32OtherEMPIRE BLUE CROSS BLUE SHIELD