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Individual

MS. LEONIZA CORDOBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
3722 82ND ST, JACKSON HEIGHTS, NY 11372-7032
(718) 779-1600
(718) 396-6189
Mailing address
3726 87TH ST, JACKSON HEIGHTS, NY 11372-7530
(718) 651-2525

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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