| Corona Ing Inc | |
|
3719 108th St Corona NY 11368-4176 | |
| (718) 406-9032 | |
| (917) 745-1561 |
| Full Name | Corona Ing Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3719 108th St, Corona, New York |
| Authorized Official Name and Position | Roza Bagdasarova (OWNER) |
| Authorized Official Contact | 7184069032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Ing Inc 3719 108th St Corona NY 11368-4176 Ph: (718) 406-9032 | Corona Ing Inc 3719 108th St Corona NY 11368-4176 Ph: (718) 406-9032 |
| NPI Number | 1235897653 |
|---|---|
| Provider Enumeration Date | 12/02/2021 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 1759773005 |
|---|---|
| Medicare Enrollment ID | O20220118000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235897653 | NPI | - | NPPES |
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