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Organization
WELLNESS MEDICAL OF CORONA PC
Active
Organization
WELLNESS MEDICAL OF CORONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER BALDONADO M.D. (OWNER)
13478258288
Entity
Organization
Contact information
Practice address
10005 ROOSEVELT AVE, SUITE 203, CORONA, NY 11368-4880
(718) 803-6430
(718) 803-6440
Mailing address
10005 ROOSEVELT AVE, SUITE 203, CORONA, NY 11368-4880
(718) 803-6430
(718) 803-6440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
271367
NY
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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