NPI 1013672187

Danille Raven Cornwell

Practitioner Peer Specialist Riverhead, NY

Practice location

Address: 400 W Main St, Riverhead, NY 11901-2813
Phone: (631) 833-6581

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1013672187
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Nov 2021
Record last updated: 3 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.