Individual
SHEILA CORNACCHIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
HYGENIST
Contact information
Practice address
103 WASHINGTON ST, ELMIRA, NY 14901-3220
(607) 737-2028
(607) 737-2016
Mailing address
103 WASHINGTON ST, ELMIRA, NY 14901-3220
(607) 737-2028
(607) 737-2016
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
019083-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019083-1
—
NY
Enumeration date
04/06/2006
Last updated
07/09/2007
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