National Provider Identifier
Corey Everett Lucey
Corey Everett Lucey is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Brockport, NY and a listed phone number of (585) 395-2211.
Profile Overview
- NPI
- 1528575479
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- January 01, 2018
- Last Updated
- January 01, 2018
Practice Location
- 350 New Campus Dr
- Brockport, NY 14420-2997
Phone: (585) 395-2211
Mailing Address
- 587 University Ave Apt 3
- Rochester, NY 14607-1411
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1528575479
- Entity Type
- Individual
- Last Name
- Lucey
- First Name
- Corey
- Middle Name
- Everett
- Provider Other Last Name
- Lucey
- Provider Other First Name
- Corey
- Provider Other Middle Name
- Everett
- Provider Other Credential Text
- ATC STUDENT
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 587 University Ave Apt 3
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1411
- Mailing Country
- US
- Mailing Phone
- (585) 369-6202
- Practice Street Address
- 350 New Campus Dr
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2997
- Practice Country
- US
- Practice Phone
- (585) 395-2211
- Enumeration Date
- January 01, 2018
- Last Updated
- January 01, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)