Search › New York › 163W00000X
Kendryll Corpus
NPI 1073230322 · on the registry since 2022 · sole proprietor
Practice
- Address
- 8632 57th Rd
Elmhurst, NY 11373 - Phone
- (917) 833-3742
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York