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Contact Information

RONALDO S CORACHEA
7608 69TH PL APT 2B
GLENDALE, NY11385-7138
 Phone: 347-886-6661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RONALDO S CORACHEA · (Male)

NPI Number 1669793980
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2010
Last updated 06/22/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 018679-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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