Individual
MS. CORAINE CORETTA BURGESS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14202 20TH AVENUE, FLUSHING, NY 11351
(718) 559-0555
(718) 445-7111
Mailing address
14202 20TH AVENUE, FLUSHING, NY 11351
(718) 559-0555
(718) 445-7111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
510992-1
NY
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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