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

TaxonomyCodeLicense
Specialist Primary 174400000X157714 (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.

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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.