Provider Demographics
NPI:1346707460
Name:CORBIN HEALTH SERVICES
Entity Type:Organization
Organization Name:CORBIN HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CORBIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:203-508-3227
Mailing Address - Street 1:50 BREWERY ST UNIT 9658
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06536-0658
Mailing Address - Country:US
Mailing Address - Phone:475-731-2229
Mailing Address - Fax:
Practice Address - Street 1:50 BREWERY ST UNIT 9658
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06536-0658
Practice Address - Country:US
Practice Address - Phone:475-731-2229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty