Individual
CAMELLIA YVETTE CORRICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 PELHAM PKWY S, ROOM 13N16, BUILDING 4, BRONX, NY 10461-1138
(718) 918-7190
Mailing address
46 ALTA AVE, APT 1C, YONKERS, NY 10705-1443
(215) 500-9600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336971-1
NY
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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