Individual
MISS CHRISTINE M CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2105 W GENESEE ST, SYRACUSE, NY 13219-1698
(315) 468-3239
(315) 468-2917
Mailing address
4241 HUNTING CREEK DR, CLAY, NY 13041-8717
(315) 478-4827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
349239-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349239-1
RN LICENSE
NY
Enumeration date
03/01/2010
Last updated
03/01/2010
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