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Individual
MRS. ELIZABETH ANNE CORBETT-RENNER
Active
Individual
MRS. ELIZABETH ANNE CORBETT-RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC-PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009588
NY
363A00000X
Physician Assistant
006888-1
NY
Other
Enumeration date
03/03/2006
Last updated
03/21/2018
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