Individual
ADELAIDE CORVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 4TH AVE, BAY SHORE, NY 11706-7908
(631) 665-6707
Mailing address
78 LAKEVIEW DR, KINGS PARK, NY 11754-2316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R014050
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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