Individual
COREY KRISTOFFER GONERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
333 E 38TH ST FL 4, NEW YORK, NY 10016-2772
(646) 501-7400
Mailing address
16 MADISON SQ W FL 12, NEW YORK, NY 10010-1629
(917) 765-2009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
696901
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402685
NY
Other
Enumeration date
06/27/2019
Last updated
02/29/2024
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