Individual
FATIMA KORAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2940 GRAND CONCRS APT 3J, BRONX, NY 10458-2612
(917) 902-8642
Mailing address
2940 GRAND CONCRS APT 3J, BRONX, NY 10458-2612
(917) 902-8642
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
301450
NY
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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