Individual
MS. CELESTE ROSE CORNELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
998 CROOKED HILL RD, BUILDING 47, BRENTWOOD, NY 11717-1019
(631) 761-2314
(631) 761-3094
Mailing address
215 GRAND CENTRAL AVE, AMITYVILLE, NY 11701-3706
(845) 258-8524
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
260122
NY
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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