Individual
CORINNE NICOLE FELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
69 JUNE AVE, NORTHPORT, NY 11768-3014
(516) 816-8905
Mailing address
69 JUNE AVE, NORTHPORT, NY 11768-3014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
709007
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709007
SPECIAL EDUCATION TEACHER
NY
Enumeration date
06/21/2012
Last updated
06/21/2012
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