Individual
DR. ANTONINA KORNEEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1919 CHESTNUT ST LBBY 105, PHILADELPHIA, PA 19103-3456
(215) 563-8440
(215) 567-4993
Mailing address
1919 CHESTNUT ST LBBY 105, PHILADELPHIA, PA 19103-3456
(215) 563-8440
(215) 567-4993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003762
PA
Other
Enumeration date
09/06/2019
Last updated
01/22/2024
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