Organization
CORONA MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME F. ROMAN M.D. (PRESIDENT)
(718) 205-5355
Entity
Organization
Contact information
Practice address
3751 91ST ST, JACKSON HEIGHTS, NY 11372-7927
(718) 205-5355
(718) 429-7952
Mailing address
3751 91ST ST, JACKSON HEIGHTS, NY 11372-7927
(718) 205-5355
(718) 429-7952
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
152166
NY
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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