Individual
MS. CORI A PANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
200 FRONT ST, VESTAL, NY 13850-1559
(607) 748-7468
(607) 754-6130
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905-1040
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
334361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01376512
—
NY
Enumeration date
07/15/2006
Last updated
04/26/2016
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