Organization · Type 2 NPI
Corona Comprehensive Medical Care, P.c.
Specialist · Corona, NY
NPI number
1972664035
Active
Practice location
10809 52nd Ave
Corona, NY 11368-3300
Fax (718) 393-3096
Mailing address
108-09A 52nd. Ave.
Corona, NY 11368-3300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 157714 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Corona
About NPI 1972664035
Corona Comprehensive Medical Care, P.c.'s National Provider Identifier is 1972664035, issued on Dec 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Corona, NY. The record was last updated on Aug 22, 2020.