Individual
KARINA ESTHER CORNELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CASAC-T
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(646) 340-1403
(212) 694-4619
Mailing address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(646) 340-1403
(212) 694-4619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778848873
NEW YORK STATE IDENTIFICATION
NY
Enumeration date
12/19/2019
Last updated
12/19/2019
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