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Individual

CORLISS KANAZAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
BCD 556, 550 FIRST AVE. BELLEVUE HOSPITAL, NEW YORK, NY 10016

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432513
NY

Other

Enumeration date
11/25/2022
Last updated
11/25/2022
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