MS. Joan Theresa Correale, SHOP OWNER

NPI #1669421327 in Staten Island, New York

Provider Information

NPI Number: 1669421327
Entity Type: Individual
Name: MS. Joan Theresa Correale, SHOP OWNER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist - Prosthetics Case Management
Credential: SHOP OWNER
Enumeration Date: May 9, 2006
Last Updated: Jul 16, 2008

Practice Location

Address: 326 NEW DORP LN
City: Staten Island
State: New York
ZIP Code: 10306-3035
Phone: (718) 984-1134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist - Prosthetics Case Management — Prosthetics Case Management	1744P3200X	Primary

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