Corey E. Ennis, PA
Physician Assistant · Ballston Lake, NY
UnclaimedPANPI 1912392192
- Primary taxonomy
- 363A00000X
- Enumerated
- 2015-04-03
- Practice location
- Ballston Lake, NY
- Last NPPES update
- 2022-10-17
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.