Individual
TANYA CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 S HEDLEY ST, CHEEKTOWAGA, NY 14206-2508
(716) 903-7160
Mailing address
12 S HEDLEY ST, CHEEKTOWAGA, NY 14206-2508
(716) 903-7160
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
565712-1
NY
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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