Individual
BEVERLY CORDOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
585 7TH AVE, NEW HYDE PARK, NY 11040-5424
(347) 617-8543
Mailing address
585 7TH AVE, NEW HYDE PARK, NY 11040-5424
(347) 617-8543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
679910
NY
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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