Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deforest Cornish

Individual provider Early Intervention Provider Agency · NPI 1639731599

Deforest Cornish is an Early Intervention Provider Agency in Laurelton, New York. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

13122 223rd St
Laurelton, NY 11413-1646
Phone: (347) 715-0477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1639731599
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 1, 2019
Last updated in NPPESJuly 1, 2019
Mailing address13122 223rd St, Laurelton, NY 11413-1646

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