Individual
BASILIO CORDOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4802 TENTH AVE, BROOKLYN, NY 11219
(718) 283-1931
(718) 635-6745
Mailing address
4802 TENTH AVE, BROOKLYN, NY 11219
(718) 283-1931
(718) 635-6745
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
155028
NY
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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