Individual
MRS. LUCILLE CORVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
(718) 918-4469
Mailing address
203 CHITTENDEN AVE, TUCKAHOE, NY 10707-1629
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380093
NY
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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