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Individual

CAITLIN CORIELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
196 FAIRVIEW AVE, STATEN ISLAND, NY 10314-3060
(718) 810-1901
Mailing address
196 FAIRVIEW AVENUE, STATEN ISLAND, NY 10314

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342075
NY

Other

Enumeration date
10/10/2024
Last updated
10/10/2024
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