Corona Medical Of New York Llc

Specialty details in registry · Jackson Heights, NY

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At a glance

4004 Forley Street, Jackson Heights, NY 11372

NPPES record updated Dec 6, 2023. Public records can lag behind changes at a practice.

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Practice location

4004 Forley Street
Jackson Heights, NY 11372

Professional details: NPI, taxonomy & registry record

NPI1437691920

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 2086S0129X
Enumeration date: Nov 15, 2016
Record updated: Dec 6, 2023

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2086S0129X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4004 Forley Street
Jackson Heights, NY 11372

Phone: (718) 301-1100
Fax: (224) 246-8042

Mailing address

304 WAINWRIGHT DR

NORTHBROOK, IL 600621900

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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