Individual
DR. JERRY NOEL CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
299633
NY
207RC0000X
Cardiovascular Disease Physician
Primary
192868
CA
207RC0000X
Cardiovascular Disease Physician
MD224604
OR
Other
Enumeration date
04/12/2016
Last updated
03/26/2025
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