Provider Demographics
NPI:1124333034
Name:CORRIGAN, MALACHY P (RN, PMHNP)
Entity type:Individual
Prefix:
First Name:MALACHY
Middle Name:P
Last Name:CORRIGAN
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Gender:M
Credentials:RN, PMHNP
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:9 METROTECH CTR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5431
Mailing Address - Country:US
Mailing Address - Phone:212-570-1693
Mailing Address - Fax:212-431-1731
Practice Address - Street 1:9 METROTECH CTR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5431
Practice Address - Country:US
Practice Address - Phone:212-570-1693
Practice Address - Fax:212-431-1731
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF401305-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health