Individual
MS. CAMILLE CORRALES TIPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
133 MORNINGSIDE AVE, NEW YORK, NY 10027-4802
(212) 923-2525
Mailing address
39 LYON ST, VALLEY STREAM, NY 11580-3517
(516) 361-5376
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
662532
NY
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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