Organization
CORONA COMPREHENSIVE MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN CLAUDE DEMETRIUS M.D. (OWNER)
(718) 393-0600
Entity
Organization
Contact information
Practice address
10809 52ND AVE, CORONA, NY 11368-3300
(718) 393-0600
(718) 393-3096
Mailing address
108-09A 52ND. AVE., CORONA, NY 11368-3300
(718) 393-0600
(718) 393-3096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
157714
NY
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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