Provider Demographics
NPI:1780066811
Name:UNGER, COREY (MS)
Entity type:Individual
Prefix:
First Name:COREY
Middle Name:
Last Name:UNGER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11436 202ND ST
Mailing Address - Street 2:811Q @136/822
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-2813
Mailing Address - Country:US
Mailing Address - Phone:718-776-4500
Mailing Address - Fax:
Practice Address - Street 1:11436 202ND ST
Practice Address - Street 2:811Q @136/822
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-2813
Practice Address - Country:US
Practice Address - Phone:718-776-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist