National Provider Identifier Database

CORONA MEDICAL OF NEW YORK LLC
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

CORONA MEDICAL OF NEW YORK LLC
4004 FORLEY STREET
JACKSON HEIGHTS, NY11372
Phone: 718-301-1100
Fax: 224-246-8042
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for CORONA MEDICAL OF NEW YORK LLC

NPI Number 1437691920
Legal business name
LBN
CORONA MEDICAL OF NEW YORK LLC
Authorized official YAN KATSNELSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/15/2016
Last updated 12/06/2023 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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