Individual
VICTORIA KORNECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 FORT WASHINGTON AVE APT 3F, NEW YORK, NY 10033-3528
(646) 696-1095
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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