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Cory Dodge
Electroneurodiagnostic Specialist/Technologist in Brooklyn, New York
NPI 1003694589

Cory Dodge is a Electroneurodiagnostic Specialist/Technologist based in Brooklyn, NY and is specialized in Electroneurodiagnostic. Cory Dodge practices in Brooklyn, NY. The NPI Number for Cory Dodge is 1003694589 and holds a License No. (New York).

The current practice location address for Cory Dodge is 314 Evergreen Ave Apt 4B, Brooklyn, NY and can be reached out via phone at 631-974-5446.

Location: 314 Evergreen Ave Apt 4B, Brooklyn, NY, 11221-8352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003694589
Provider Name
Cory Dodge
Credential
Provider Entity Type
Individual
Gender
Male
Address
314 Evergreen Ave Apt 4B, Brooklyn, NY, 11221-8352
Phone Number
631-974-5446
Fax Number
Provider Enumeration Date
09/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
314 Evergreen Ave Apt 4B
City
Brooklyn
State
New York
Zip
11221-8352
Phone Number
631-974-5446
Fax Number
person
Provider Business Mailing Address Details
Address
314 Evergreen Ave Apt 4B
City
Brooklyn
State
New York
Zip
11221-8352
Phone Number
631-974-5446
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
()
Definition
Definition to come...
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