Provider Demographics
NPI:1528368461
Name:CORSINO, GENEVIEVE (CRNA)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:CORSINO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:68 S SERVICE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2354
Mailing Address - Country:US
Mailing Address - Phone:516-945-3107
Mailing Address - Fax:516-945-3131
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-2844
Practice Address - Fax:914-493-2948
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2015-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY6039351367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered