Provider Demographics
NPI:1578659231
Name:CORRY, NICHOLE
Entity type:Individual
Prefix:DR
First Name:NICHOLE
Middle Name:
Last Name:CORRY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:NICHOLE
Other - Middle Name:
Other - Last Name:OLEKOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:36 E 57TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:561-268-2000
Mailing Address - Fax:561-328-9752
Practice Address - Street 1:50 COCOANUT ROW, SUITE 100
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480
Practice Address - Country:US
Practice Address - Phone:917-202-1531
Practice Address - Fax:561-328-9752
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121351207R00000X
NHRT-1557207R00000X
CT047931207R00000X
FL121351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine