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1225636749
GINA CORNWALL
AMITYVILLE, NY
NPI
1225636749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F403129-01)
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
GINA CORNWALL NP
400 SUNRISE HWY
AMITYVILLE, NY 11701-2508
Phone number: 631-264-4000
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Mailing Address
GINA CORNWALL NP
337 S 12TH ST
LINDENHURST, NY 11757-4519
Phone number: 631-455-6730
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