Individual
MS. ANDREA CORNACHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1385 FULTON AVE, BRONX, NY 10456-2451
(718) 579-0805
Mailing address
31 POPLAR AVE, BRONX, NY 10465-1443
(516) 924-0484
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
078832-1
NY
1041C0700X
Clinical Social Worker
Primary
082895
NY
Other
Enumeration date
11/28/2008
Last updated
05/19/2015
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