Provider Demographics
NPI:1134861651
Name:CORONA, JANINE (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:JANINE
Middle Name:
Last Name:CORONA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 S CONGER AVE
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-2206
Mailing Address - Country:US
Mailing Address - Phone:845-608-4097
Mailing Address - Fax:845-627-3720
Practice Address - Street 1:138 S CONGER AVE
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920-2206
Practice Address - Country:US
Practice Address - Phone:845-608-4097
Practice Address - Fax:845-627-3720
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY641648-01163WH0200X, 163WH1000X, 163WI0600X, 163WC1500X, 163WC1600X, 163WC3500X, 163WD0400X, 163WG0000X, 163WG0600X, 163WM0102X, 163W00000X
NY641678-01163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)Group - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn