Doctor Name: | MS. CORINNE ANN CARMONA |
NPI Number: | 1023260643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.N |
License Number: | 26NN08805600 |
Business Practice Address: | 35 Green Pond Rd Rockaway, NJ - 078662052 |
Business Phone Number: | 9735867447 |
Business Fax Number: | 9735867445 |
Mailing Address: | 35 Green Pond Rd, ROCKAWAY |
State: | NJ |
Postal Code: | 078662052 |
Phone Number: | 9735867447 |
Fax Number: | 9735867445 |
NPI Enumeration Date: | 10/14/2008 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NN08805600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |