# CORONA ING INC

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

## Provider details

- **NPI number:** 1235897653
- **Authorized official:** ROZA BAGDASAROVA (OWNER)
- **Authorized official phone:** (718) 406-9032

## Contact information

- **Practice address:** 3719 108TH ST, CORONA, NY 11368-4176
- **Practice address phone:** (718) 406-9032
- **Practice address fax:** (917) 745-1561
- **Mailing address:** 3719 108TH ST, CORONA, NY 11368-4176
- **Mailing address phone:** (718) 406-9032
- **Mailing address fax:** (917) 745-1561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 305S00000X | Point of Service | — | NULL | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 12/02/2021
- **Last updated:** 02/02/2022