Corona Comprehensive Medical Care, P.c.

NPI #1972664035 in Corona, New York

Provider Information

NPI Number: 1972664035
Entity Type: Organization
Organization Name: Corona Comprehensive Medical Care, P.c.
Primary Specialty: Specialist
Enumeration Date: Dec 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 10809 52ND AVE
City: Corona
State: New York
ZIP Code: 11368-3300
Phone: (718) 393-0600

Authorized Official

Name: DR. JEAN CLAUDE DEMETRIUS, M.D.
Title: OWNER
Phone: (718) 393-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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