Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corliss Kanazawa

Individual provider Acute Care Nurse Practitioner · NPI 1194435677

Corliss Kanazawa is an Acute Care Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

462 1st Ave
New York, NY 10016-9196
Phone: (212) 562-4141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 432513 (NY)

Record details

NPI number1194435677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2022
Last updated in NPPESNovember 25, 2022
Certification dateNovember 21, 2022

Other providers in New York