Individual provider · Type 1 NPI

Ryan Cordero, MD

Student in an Organized Health Care Education/Training Program · Queens Village, NY

NPI number 1417699166 Active

Practice location

79-25 Winchester Blvd, Queens Village, Ny 11427
Queens Village, NY 11427

Call (718) 264-5030 Map

Mailing address

7925 Winchester Blvd
Queens Village, NY 11427-2128

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417699166

Ryan Cordero, MD's National Provider Identifier is 1417699166, issued on Apr 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Queens Village, NY. The record was last updated on Sep 29, 2026.