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Individual
DR. MARK JACOB CORONEL
Active
Individual
DR. MARK JACOB CORONEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
247949
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454858453
NYS
NY
Enumeration date
05/03/2008
Last updated
01/04/2023
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