Cornwall, Gina

Cornwall, Gina is an sole proprietor health care provider with primary practice located at 400 Sunrise Hwy , Amityville NY 11701-2508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cornwall, Gina can be contacted via phone (631) 264-4000.

Contact Information

Primary practice address
400 Sunrise Hwy Amityville NY 11701-2508
Phone: (631) 264-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F403129-01 New York

Profile Details

NPI number 1225636749
LBN Legal business name Cornwall, Gina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2020
Last updated Oct 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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