Individual
MR. WILLIAM GEROME CORNELISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3409
(518) 549-6618
(518) 549-6611
Mailing address
123 FYKE RD, CATSKILL, NY 12414-5108
(518) 947-8959
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
516246
NY
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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