Individual
MS. CECILIA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554
(516) 572-6301
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D96715
MD
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
D98715
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D96715
STATE LICENSE
MD
Enumeration date
07/12/2018
Last updated
01/04/2024
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