| Wellness Medical Of Corona Pc | |
|
10005 Roosevelt Ave Suite 203 Corona NY 11368-4880 | |
| (718) 803-6430 | |
| (718) 803-6440 |
| Full Name | Wellness Medical Of Corona Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10005 Roosevelt Ave, Corona, New York |
| Authorized Official Name and Position | Alexander Baldonado (OWNER) |
| Authorized Official Contact | 13478258288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Medical Of Corona Pc 10005 Roosevelt Ave Suite 203 Corona NY 11368-4880 Ph: (718) 803-6430 | Wellness Medical Of Corona Pc 10005 Roosevelt Ave Suite 203 Corona NY 11368-4880 Ph: (718) 803-6430 |
| NPI Number | 1336516210 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336516210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 271367 (New York) | Primary |
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