Provider Demographics
NPI:1649345034
Name:CORBETT, DENNIS FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:FRANCIS
Last Name:CORBETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 POND VW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:S SCHODACK
Mailing Address - State:NY
Mailing Address - Zip Code:12033-9750
Mailing Address - Country:US
Mailing Address - Phone:518-477-2391
Mailing Address - Fax:518-477-2393
Practice Address - Street 1:3 ATRIUM DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1417
Practice Address - Country:US
Practice Address - Phone:518-438-5273
Practice Address - Fax:518-438-5398
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY99597207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
10000398OtherCDPHP
5202321OtherAETNA
17101OtherMVP
400907OtherGHI
406532002OtherBSNE
NY00527160Medicaid
50E841OtherEMPIRE
WICB-SE215564OtherWORK COMP
93484OtherAPA
107638OtherWELLCARE
CM3982OtherRRMC
5202321OtherAETNA
406532002OtherBSNE
107638OtherWELLCARE