Organization
CORONA GYNECOLOGICAL MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL COOPER M.D. (MEDICAL DIRECTOR)
(718) 779-2666
Entity
Organization
Contact information
Practice address
10408 ROOSEVELT AVE, 2ND FLOOR, CORONA, NY 11368-2328
(718) 779-2666
(718) 779-6006
Mailing address
10408 ROOSEVELT AVE, 2ND FLOOR, CORONA, NY 11368-2328
(718) 779-2666
(718) 779-6006
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
092267
NY
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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