Individual
MR. LENNY CORACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1275 YORK AVE, 11TH FLOOR ICU, NEW YORK, NY 10065-6007
(212) 639-7555
Mailing address
8257 88TH LN, GLENDALE, NY 11385-7858
(212) 639-7555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
303940
NY
Other
Enumeration date
10/17/2006
Last updated
06/17/2009
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