Gina Cornicelli
Gina Cornicelli is a Specialist in Port Jefferson Station, New York. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
299 Hallock AvePort Jefferson Station, NY 11776-1217
Phone: (631) 578-5219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1154894335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2019 |
| Last updated in NPPES | January 10, 2019 |
| Mailing address | 51 Woodlawn Ave, East Moriches, NY 11940-1532 |
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