Individual
FERNANDO CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
589 KNICKERBOCKER AVE, BROOKLYN, NY 11221-4742
(718) 366-9191
(718) 417-1305
Mailing address
6148 62ND AVE, APARTMENT 2, MIDDLE VILLAGE, NY 11379-1009
(718) 417-7766
(718) 417-1305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02471772
—
NY
Enumeration date
02/08/2007
Last updated
07/08/2007
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