Individual
CARESSE ROSE CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
19 MARLA DR, CORAM, NY 11727-2723
(631) 599-0422
Mailing address
19 MARLA DR, CORAM, NY 11727-2723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
676731
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
135327
NY
Other
Enumeration date
01/31/2023
Last updated
01/08/2024
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