Individual
JENNY CRISTINA CORAISACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W 123RD ST, NEW YORK, NY 10027-5511
(212) 662-5536
Mailing address
6406 ASQUITH CRES FL 2, REGO PARK, NY 11374-5016
(347) 755-5836
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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