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Organization
COREHEALTH MEDICAL CARE PLLC
Active
Organization
COREHEALTH MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE CHIKEZIE IDEYI MD (OWNER)
(718) 343-2045
Entity
Organization
Contact information
Practice address
247-39 JAMAICA AVE, 2ND FLOOR, QUEENS, NY 11426-1541
(718) 343-2045
(718) 343-2088
Mailing address
24739 JAMAICA, 2ND FLOOR, BELLEROSE, NY 11426-1541
(718) 343-2045
(718) 343-2088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
05/24/2013
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