Individual
CORINE ATTIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
Mailing address
2121 80TH ST, BROOKLYN, NY 11214-1903
(347) 261-3146
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
030263-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/26/2021
Last updated
08/01/2023
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