Individual provider · Type 1 NPI

Corliss Kanazawa

Acute Care Nurse Practitioner · New York, NY

NPI number 1194435677 Active

Practice location

462 1st Ave
New York, NY 10016-9196

Call (212) 562-4141 Map

Mailing address

Bcd 556, 550 First Ave. Bellevue Hospital
New York, NY 10016

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X432513 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1194435677

Corliss Kanazawa's National Provider Identifier is 1194435677, issued on Nov 25, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Nov 25, 2022.