Individual provider · Type 1 NPI

Coraleen Itable Fosella, NP

Adult Health Nurse Practitioner · New York, NY

NPI number 1922285618 Active

Practice location

1305 York Ave, 4th Floor
New York, NY 10021-5663

Fax (646) 962-0363

Mailing address

525 E 68th St, Box 308
New York, NY 10065-4870

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF301611 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1922285618

Coraleen Itable Fosella, NP's National Provider Identifier is 1922285618, issued on Jan 25, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jan 25, 2008.