# CORE HEALTH CCM CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184370884
- **Authorized official:** MS. KATRINA A GUALBERTO (CEO)
- **Authorized official phone:** (929) 424-3400

## Contact information

- **Practice address:** 3272 STEINWAY ST STE 302, ASTORIA, NY 11103-4183
- **Practice address phone:** (929) 424-3400
- **Mailing address:** 3272 STEINWAY ST STE 302, ASTORIA, NY 11103-4183
- **Mailing address phone:** (929) 424-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/22/2022
- **Last updated:** 02/22/2022