Individual
JANETTE CORALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.N.P
Contact information
Practice address
3959 BROADWAY, CHC1-115, NEW YORK, NY 10032-1559
(212) 342-8600
Mailing address
PO BOX 1074, BELLMORE, NY 11710-0278
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
F350268
NY
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350268
NY
Other
Enumeration date
04/19/2007
Last updated
10/19/2009
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