National Provider Identifier

Cory David Whitehair, PEER SPECIALIST

Cory David Whitehair, PEER SPECIALIST is listed in the NPPES registry with a primary specialty of Community Health Worker in Elmira, NY and a listed phone number of (607) 737-4917.

NPI 1659730554Elmira, NYCommunity Health Worker

Profile Overview

NPI
1659730554
Provider Type
Individual
Primary Specialty
Community Health Worker
Enumeration Date
February 19, 2016
Last Updated
February 19, 2016

Practice Location

  • 100 Washington Street
  • Elmira, NY 14901

Phone: (607) 737-4917

Mailing Address

  • 100 Washington St
  • Elmira, NY 14901-2849

Specialties

  • Community Health Worker (172V00000X)
Full Record
NPI
1659730554
Entity Type
Individual
Last Name
Whitehair
First Name
Cory
Middle Name
David
Credential
PEER SPECIALIST
Mailing Street Address
100 Washington St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2849
Mailing Country
US
Mailing Phone
(607) 737-4917
Practice Street Address
100 Washington Street
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901
Practice Country
US
Practice Phone
(607) 737-4917
Enumeration Date
February 19, 2016
Last Updated
February 19, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Worker (172V00000X)