Organization
CORINTHIAN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA DE LOS ANGELES (ADMINISTRATOR)
(347) 812-3968
Entity
Organization
Contact information
Practice address
620 W 190TH ST # B, NEW YORK, NY 10040-4157
(212) 781-4144
(212) 781-1872
Mailing address
620 W 190TH ST # B, NEW YORK, NY 10040-4157
(212) 781-4144
(212) 781-1872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
09/20/2023
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