Basic Information
| Provider Information | |||||||||
| NPI: | 1457607590 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CORRIGAN | ||||||||
| FirstName: | MAIREAD | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2590 FRISBY AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104613240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182391610 | ||||||||
| FaxNumber: | 7182933982 | ||||||||
| Practice Location | |||||||||
| Address1: | 50 E 168TH ST | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104527911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182933900 | ||||||||
| FaxNumber: | 7182933982 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2012 | ||||||||
| LastUpdateDate: | 08/22/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | P83761 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.