| Corona Medical Services, Pc | |
|
10114 39th Ave Corona NY 11368-4805 | |
| (718) 205-1513 | |
| (718) 651-5024 |
| Full Name | Corona Medical Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10114 39th Ave, Corona, New York |
| Authorized Official Name and Position | Craig Sheflin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7182051513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Medical Services, Pc 10114 39th Ave Corona NY 11368-4805 Ph: (718) 205-1513 | Corona Medical Services, Pc 10114 39th Ave Corona NY 11368-4805 Ph: (718) 205-1513 |
| NPI Number | 1598142499 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 9335409622 |
|---|---|
| Medicare Enrollment ID | O20180206001068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598142499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 219347 (New York) | Primary |
| Provider Name | Craig Louis Sheflin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588760235 PECOS PAC ID: 2365493145 Enrollment ID: I20050209000561 |
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