Individual
JAIRO CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2 PARK AVE, YONKERS, NY 10703-3402
(914) 964-4362
Mailing address
PO BOX 998, YONKERS, NY 10703-0998
(914) 966-9787
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402200
NY
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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