Provider Demographics
NPI:1033473467
Name:REONEGRO, CORENE J (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:CORENE
Middle Name:J
Last Name:REONEGRO
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 COLLFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-1932
Mailing Address - Country:US
Mailing Address - Phone:718-761-3371
Mailing Address - Fax:
Practice Address - Street 1:330 COLLFIELD AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-1932
Practice Address - Country:US
Practice Address - Phone:718-761-3371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist