CORONA MEDICAL OF NEW YORK LLC; NPI #1437691920

Contact Information

CORONA MEDICAL OF NEW YORK LLC

4004 FORLEY STREET
JACKSON HEIGHTS, NY 11372

Phone: 718-301-1100
Fax: 224-246-8042
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Vascular Surgery	2086S0129X	76	Physician/Peripheral Vascular Disease

Indicates primary specialty

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NPI Profile & details for CORONA MEDICAL OF NEW YORK LLC

NPI Number	`1437691920`
LBN Legal business name	CORONA MEDICAL OF NEW YORK LLC
Authorized official	YAN KATSNELSON - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/15/2016
Last updated	12/06/2023 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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