CORY BROCIOUS


Address: 813 Fay Rd, Syracuse, NY 13219-3009
Phone: 3157030810

CORY BROCIOUS (NPI# 1134519804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134519804
Entity Type Individual
Full Name CORY BROCIOUS
Practice Address 813 Fay Rd
Syracuse
NY 13219-3009
Mailing Address 127 Campbell Rd
Mattydale
NY 13211-1203
Practice Telephone 3157030810
Practice Fax Number 3157030814
Mailing Telephone 3157030810
Mailing Fax Number 3157030814
Enumeration Date 2015-02-02
Last Update Date 2015-02-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 813 FAY RD
City SYRACUSE
State NY
Zip Code 13219-3009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538110879 Annie M Kelly Occupational Therapist 813 Fay Rd, Syracuse, NY 13219-3009 2006-05-12
1942831177 Emily Dipaola Physical Therapist 813 Fay Rd, Syracuse, NY 13219-3009 2020-01-27
1295375699 Denise W Ambrose Physical Therapist 813 Fay Rd, Syracuse, NY 13219-3009 2020-01-14
1710527254 Jesse L Peck Physical Therapist 813 Fay Rd, Syracuse, NY 13219-3009 2020-01-13
1578076071 Anna Kathryn Rue Physical Therapy Assistant 813 Fay Rd, Syracuse, NY 13219-3009 2017-11-07
1699293076 Shelbi Montanaro Occupational Therapist 813 Fay Rd, Syracuse, NY 13219-3009 2017-09-06
1467973610 Emily Block Treglia Occupational Therapist 813 Fay Rd, Syracuse, NY 13219-3009 2017-06-28
1902334972 Haley Marie Carey Occupational Therapist 813 Fay Rd, Syracuse, NY 13219-3009 2017-06-02
1932640810 Katie Benz Occupational Therapy Assistant 813 Fay Rd, Syracuse, NY 13219-3009 2017-03-13
1073053385 Theresa Stanton Respiratory Therapist, Registered 813 Fay Rd, Syracuse, NY 13219-3009 2017-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972155125 Claire A Conroy Registered Nurse Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 2019-07-09
1699339242 Gia Ruffini Licensed Practical Nurse 212 South Terry Rd., Syracuse, NY 13219 2019-04-30
1629549373 Amy Elisabeth Steigerwald Registered Nurse 400 Walberta Rd., Syracuse, NY 13219 2018-12-06
1073007670 Bryan D. O'neil Optometrist 4109 W Genesee St Ste 100, Syracuse, NY 13219 2018-06-18
1801279732 Podiatry Services of Central New York, PC Podiatrist 4623 Onondaga Blvd., Syracuse, NY 13219 2015-07-09
1699118893 Christine Anne Marshall Licensed Practical Nurse 1604 West High Terrace, Syracuse, NY 13219 2013-04-08
1447596515 Mary Lou Karrat Social Worker 4336 Fay Road, Syracuse, NY 13219 2012-12-18
1801193636 America's Best Contacts & Eyeglasses Technician/Technologist 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 2011-02-14
1053616904 Ranz Consulting Goup Preferred Provider Organization 104 Watchower Ln, Syracuse, NY 13219 2011-01-24
1003123480 Lisa Marie Searles Occupational Therapist 110 Elmtree Lane, Syracuse, NY 13219 2010-09-08
Find all providers in zip 13219

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205493780 Jedidiah Liguori Kissane Case Manager/Care Coordinator 421 Montgomery St Ste 1000a, Syracuse, NY 13202-2982 2019-05-21
1235492620 Emily E Dancks Case Manager/Care Coordinator 302 Strathmore Dr, Syracuse, NY 13207-1552 2012-06-20
1871854158 Katherine Mackey Smith Case Manager/Care Coordinator 140 Kensington Pl, Syracuse, NY 13210-3010 2012-06-04
1457612814 Laura Stockin Case Manager/Care Coordinator 326 Onondaga Ter, Syracuse, NY 13207-1443 2012-06-01
1184984858 Jessica Danielle Spencer Case Manager/Care Coordinator 304 Meadow Rd, Syracuse, NY 13219-2308 2012-05-29
1245590157 Timothy John Alberts Case Manager/Care Coordinator 111 Chaumont Dr, Syracuse, NY 13209-2230 2012-05-24
1629338652 Marci Gondek Case Manager/Care Coordinator 681 E Seneca Tpke, Apt A24, Syracuse, NY 13205-2616 2012-05-23
1841550324 Joann Maria Manfredi Case Manager/Care Coordinator 501 E Fayette St Ste 2, Syracuse, NY 13202-1953 2012-05-18
1205195906 Amy Pilacky Case Manager/Care Coordinator 501 E Fayette St Ste B, Syracuse, NY 13202-1953 2012-05-15
1780838177 Deborah Yvonne Bull Case Manager/Care Coordinator 501 E Fayette St, Syracuse, NY 13202-1953 2008-11-11
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13219

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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