Provider Demographics
NPI:1194999532
Name:HUNTER, COREY WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:COREY
Middle Name:WILLIAM
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115E 57TH ST 1210
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2032
Mailing Address - Country:US
Mailing Address - Phone:212-203-2813
Mailing Address - Fax:775-322-4956
Practice Address - Street 1:115 E 57TH ST
Practice Address - Street 2:SUITE 1210
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2049
Practice Address - Country:US
Practice Address - Phone:212-203-2813
Practice Address - Fax:646-607-9061
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256856208VP0014X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine