Individual
ALLISON MARIE KORNAHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
88 ITHACA ST, BAY SHORE, NY 11706-4514
(631) 252-3249
Mailing address
88 ITHACA ST, BAY SHORE, NY 11706-4514
(631) 252-3249
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403752
NY
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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