Individual
BIANCA CORNELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 W 139TH ST, NEW YORK, NY 10037
(212) 690-7234
Mailing address
34 W 139TH ST, NEW YORK, NY 10037-1508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
354006
NY
Other
Enumeration date
07/10/2015
Last updated
12/30/2024
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