Provider Demographics
NPI:1982421863
Name:CORRECTIVE HEALTHCARE A NURSE PRACTITIONER IN FAMILY HEALTH PC
Entity type:Organization
Organization Name:CORRECTIVE HEALTHCARE A NURSE PRACTITIONER IN FAMILY HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:631-849-1620
Mailing Address - Street 1:595 ROUTE 25A STE 18
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-2647
Mailing Address - Country:US
Mailing Address - Phone:631-849-1620
Mailing Address - Fax:
Practice Address - Street 1:595 ROUTE 25A STE 18
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-2647
Practice Address - Country:US
Practice Address - Phone:631-849-1620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty