Individual
DR. ANNA CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305
(646) 515-6412
Mailing address
11 CRANFORD ST, STATEN ISLAND, NY 10308-3025
(646) 515-6412
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
295183
NY
Other
Enumeration date
04/29/2015
Last updated
07/27/2018
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