# COREHEALTH MEDICAL CARE PLLC

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

## Provider details

- **NPI number:** 1609151950
- **Authorized official:** DR. STEVE CHIKEZIE IDEYI MD (OWNER)
- **Authorized official phone:** (718) 343-2045

## Contact information

- **Practice address:** 247-39 JAMAICA AVE, 2ND FLOOR, QUEENS, NY 11426-1541
- **Practice address phone:** (718) 343-2045
- **Practice address fax:** (718) 343-2088
- **Mailing address:** 24739 JAMAICA, 2ND FLOOR, BELLEROSE, NY 11426-1541
- **Mailing address phone:** (718) 343-2045
- **Mailing address fax:** (718) 343-2088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 05/24/2013