Provider Demographics
NPI:1245022938
Name:CRAW, COREY WILLIAM (CRPA-P-7499)
Entity type:Individual
Prefix:MR
First Name:COREY
Middle Name:WILLIAM
Last Name:CRAW
Suffix:
Gender:M
Credentials:CRPA-P-7499
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1347 ROBIN HOOD LN
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9715
Mailing Address - Country:US
Mailing Address - Phone:585-313-0912
Mailing Address - Fax:585-313-0912
Practice Address - Street 1:72 HINCHEY RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-2930
Practice Address - Country:US
Practice Address - Phone:585-627-1777
Practice Address - Fax:585-514-6161
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCRPA-P-7499175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist