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Individual

REBECCA KORNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
887 KELLUM ST, LINDENHURST, NY 11757-1508
(631) 884-3000
Mailing address
1609 ELGIN AVE, EAST MEADOW, NY 11554-2812
(917) 923-6696

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
111963
NY

Other

Enumeration date
08/04/2023
Last updated
08/04/2023
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