Gina Lucia Corniello, MS.ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

880302 Issued in NY

Practice address

7618 69TH PL Apt 1F
Glendale, NY 11385-7135

Phone

(917) 771-7627

NPI assigned

Dec 29, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Gina Lucia Dibona Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1164668935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 69TH PL APT 1F",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 69TH PL APT 1F",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857135",
            "telephone_number": "917-771-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNIELLO",
        "first_name": "GINA",
        "middle_name": "LUCIA",
        "name_prefix": "Ms.",
        "credential": "MS.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "880302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "DIBONA",
            "middle_name": "LUCIA",
            "prefix": "MRS.",
            "credential": "MS.ED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Glendale, NY
• Providers in Glendale, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.