Individual
MISS EUNICE VICTORIA CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
440 W 114TH ST, MUL2 SECTION D, NEW YORK, NY 10025-1796
(212) 523-4799
(212) 523-1761
Mailing address
440 W 114TH ST, MUL2 SECTION D, NEW YORK, NY 10025-1796
(212) 523-4799
(212) 523-1761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01854282
—
NY
Enumeration date
11/30/2006
Last updated
10/19/2010
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