Individual
BRENT JAMES CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3004 86TH ST, EAST ELMHURST, NY 11369-1423
(929) 603-7772
Mailing address
19 STODDARD PL, BROOKLYN, NY 11225-2716
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
623050
NY
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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