Individual
MS. JOAN THERESA CORREALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SHOP OWNER
Contact information
Practice address
326 NEW DORP LN, STATEN ISLAND, NY 10306-3035
(718) 984-1134
Mailing address
326 NEW DORP LN, STATEN ISLAND, NY 10306-3035
(718) 984-1134
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
07/16/2008
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