Individual
ALICIA M CORRADINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3561 STATE ROUTE 3, FULTON, NY 13069-4465
(315) 561-3725
Mailing address
3561 STATE ROUTE 3, FULTON, NY 13069-4465
(315) 561-3725
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
285154
NY
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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