Individual provider · NPI-1

Keisha Abraham-Cornely

Nurse Practitioner, Family · Bronx, NY

NPI number1396400040
StatusActive
Last updated in NPPESNov 7, 2021

Details

NPI
1396400040
Entity type
Individual (NPI-1)
Name
Keisha Abraham-Cornely
Sex
Female
Sole proprietor
No
Enumeration date
Nov 7, 2021
Certification date
Nov 7, 2021
Last updated
Nov 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family347349NYYes

Practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Phone 914-562-3090

Mailing address

1650 Grand Ave Fl 6
Bronx, NY 10453-7710

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