Individual
ANGELICA JANE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6830 76TH ST APT 2A, MIDDLE VILLAGE, NY 11379-2804
(347) 554-1035
Mailing address
6830 76TH ST APT 2A, MIDDLE VILLAGE, NY 11379-2804
(347) 554-1035
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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