Provider Demographics
NPI:1356658157
Name:KOHRHERR, CORINNE (FNP, LAC)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:KOHRHERR
Suffix:
Gender:F
Credentials:FNP, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 8TH AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1809
Mailing Address - Country:US
Mailing Address - Phone:646-484-9335
Mailing Address - Fax:
Practice Address - Street 1:481 8TH AVE STE 610
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1809
Practice Address - Country:US
Practice Address - Phone:646-484-9335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAKO000633171100000X
NJ25MZ00075300171100000X
PASP017446363LF0000X
NJ26NJ00719100363LF0000X
NYF341215363LF0000X
NY004118171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily