Individual
MR. KEVIN MICHAEL CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 AMSTERDAM AVE, NEW YORK, NY 10025-1737
(212) 523-5731
Mailing address
2849 46TH ST APT 2L, ASTORIA, NY 11103-1235
(516) 672-7906
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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