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NPI Code Detail

MEDICARE: EMMA CORENEVSKY RN

MEDICARE: EMMA CORENEVSKY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN10032364MA

General Provider Information

NPI Number : 1346190774
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA CORENEVSKY RN
Provider Business Mailing Address
First Line : 7 ALLSTON ST APT 2
Second Line :
City : CHARLESTOWN
State : MA
Zip : 02129-1901
Country : US
Telephone Number : 919-607-1112
Fax Number :
Provider Business Practice Location Address
First Line : 269 UNION ST
Second Line :
City : LYNN
State : MA
Zip : 01901-1314
Country : US
Telephone Number : 781-581-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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