Provider Demographics
NPI:1194436998
Name:CORONEL-LIGGAYU, ERLINDA TORIO
Entity type:Individual
Prefix:MRS
First Name:ERLINDA
Middle Name:TORIO
Last Name:CORONEL-LIGGAYU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 TOWER RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3513
Mailing Address - Country:US
Mailing Address - Phone:646-267-2291
Mailing Address - Fax:
Practice Address - Street 1:41 TOWER RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3513
Practice Address - Country:US
Practice Address - Phone:646-267-2291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY531712-01163W00000X
NYAG12220012363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse