Organization · Type 2 NPI
Corona Medical of New York LLC
Vascular Surgery Physician · Jackson Heights, NY
NPI number
1437691920
Active
Practice location
4004 Forley Street
Jackson Heights, NY 11372
Fax (224) 246-8042
Mailing address
304 Wainwright Dr
Northbrook, IL 60062-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1437691920
Corona Medical of New York LLC's National Provider Identifier is 1437691920, issued on Nov 15, 2016. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Jackson Heights, NY. The record was last updated on Dec 6, 2023.