Most Relevant Information
Provider Data
| NPI Number: | 1003240649 |
| Provider Name: | CAMILLE CORRALES TIPON R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP2201X |
| Specialty: | Registered Nurse |
| License Number: | 662532 |
Most Important Dates
| Enumeration Date: | 08/30/2013 |
| Last Updated: | 08/30/2013 |
Provider Practice Location
133 MORNINGSIDE AVE
NEW YORK
NY
100274802
Practice Location Phone/Fax
| Phone: | 2129232525 |
| Fax: |
Provider Mailing Location
39 LYON ST
VALLEY STREAM
NY
115803517
Provider Mailing Phone/Fax
| Phone: | 5163615376 |
| Fax: |