Individual
MIZRAIM CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 ACADEMY ST, NEW YORK, NY 10034-5003
(212) 942-0043
Mailing address
106 CABRINI BLYD, APT # 6J, NEW YORK, NY 10033
(212) 942-0043
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
059812
NY
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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