Brian Stephen Cornwall, OD
Optometrist · Fresh Meadows, NY
Practice location
6130a 190TH StFresh Meadows, NY 11365-2721
- Phone
- (718) 454-8484
NPI record
- NPI
- 1275693624
- Entity type
- Individual (Type 1)
- Enumeration date
- December 8, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
4273-1 | NY |
About Dr. Cornwall
Brian Stephen Cornwall, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 6130a 190TH St, Fresh Meadows, NY 11365-2721. The NPI number 1275693624 was assigned on December 8, 2006 and the record was last updated on July 8, 2007.
Dr. Cornwall lists a license in the registry: #4273-1 (NY) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Brian Stephen Cornwall, OD?
The NPI number is 1275693624.
What is the phone number of Dr. Cornwall?
The phone number listed for the practice location is (718) 454-8484.
Where is Dr. Cornwall located?
6130a 190TH St, Fresh Meadows, NY 11365-2721.
What is the taxonomy code for Dr. Cornwall?
The primary taxonomy code is 152W00000X – Optometrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Timothy Ip, O.D6539 175TH St
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