Individual
DR. JILL CORBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, RDMS
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5820
(718) 918-7459
Mailing address
21 ANGLER LN, PORT WASHINGTON, NY 11050-1701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
201435
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01990174
—
NY
Enumeration date
11/02/2006
Last updated
07/08/2007
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