Organization
CORNELL MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL G KELLY (OFFICE MANAGER)
(718) 961-8817
Entity
Organization
Contact information
Practice address
13618 39TH AVE, SUITE 906, FLUSHING, NY 11354-5516
(718) 961-8817
(718) 961-8815
Mailing address
13618 39TH AVE, SUITE 906, FLUSHING, NY 11354-5516
(718) 961-8817
(718) 961-8815
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
001367
NY
207R00000X
Internal Medicine Physician
130031
NY
2084N0400X
Neurology Physician
167790
NY
225100000X
Physical Therapist
022580
NY
246ZE0500X
EEG Specialist/Technologist
167790
NY
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
167790
NY
2471C3402X
Radiography Radiologic Technologist
107344-1
NY
Other
Enumeration date
01/03/2007
Last updated
09/11/2025
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