Organization
GYNECOLOGY ON JUNCTION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSENDO ICOCHEA M.D. (PRESIDENT)
(718) 656-2312
Entity
Organization
Contact information
Practice address
4023A JUNCTION BLVD, SECOND FLOOR, CORONA, NY 11368-2123
(718) 626-2312
Mailing address
4023A JUNCTION BLVD, SECOND FLOOR, CORONA, NY 11368-2123
(718) 626-2312
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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