Individual
CORETTA N WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-4408
Mailing address
1150 E 83RD ST, BROOKLYN, NY 11236-4704
(917) 715-1480
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
410115-1
NY
Other
Enumeration date
03/16/2006
Last updated
08/13/2010
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