Individual provider · Type 1 NPI
Gina Cornwall, NP
Psychiatric/Mental Health Nurse Practitioner · Amityville, NY
NPI number
1225636749
Active
Practice location
400 Sunrise Hwy
Amityville, NY 11701-2508
Mailing address
337 S 12th St
Lindenhurst, NY 11757-4519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F403129-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1225636749
Gina Cornwall, NP's National Provider Identifier is 1225636749, issued on Oct 16, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Amityville, NY. The record was last updated on Oct 16, 2020.