Individual
MS. DARIA KORNEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
988 BROADWAY, BAYONNE, NJ 07002-4036
(201) 339-6111
Mailing address
29 SPRINGBROOK AVE, NORTH HALEDON, NJ 07508-2537
(862) 232-1902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01226500
NJ
Other
Enumeration date
11/09/2021
Last updated
01/27/2022
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