Individual
CORA MARDIA ARTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
Mailing address
19 HARDY ST, STATEN ISLAND, NY 10304-1823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
746830-01
NY
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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