Individual
MRS. CORRINE E. HIBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 VILLA AVENUE, DEER PARK NY, NY 11729
(631) 581-6400
Mailing address
140 VILLA AVENUE, DEER PARK, NY 11729
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
501538
NY
Other
Enumeration date
03/01/2019
Last updated
03/06/2019
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