CORONA COMPREHENSIVE MEDICAL CARE, P.C.
NPI 1972664035
Specialist in Corona, NY

Active since December 13, 2006
10809 52ND AVE, CORONA, NY 11368(718) 393-0600(718) 393-3096 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corona Comprehensive Medical Care, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORONA COMPREHENSIVE MEDICAL CARE, P.C. (NPI 1972664035) is a healthcare organization registered as a specialist in Corona, New York and active in the NPI registry since December 2006. The organization lists Jean Claude Demetrius, Owner, as its authorized official.

NPPES Registry Identity

NPI1972664035
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCORONA COMPREHENSIVE MEDICAL CARE, P.C.
Location Address10809 52ND AVECorona, NY 11368-3300
Mailing Address108-09a 52nd. Ave.Corona, NY 11368-3300 · (718) 393-0600 · Fax (718) 393-3096
Fax(718) 393-3096
Organization SubpartNo
Authorized OfficialJean Claude DemetriusOwner · (718) 393-0600
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1972664035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 157714
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10809 52ND AVE, Corona, NY 11368

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corona Comprehensive Medical Care, P.C.'s NPI number?

The NPI number for Corona Comprehensive Medical Care, P.C. is 1972664035. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Corona Comprehensive Medical Care, P.C. located?

Corona Comprehensive Medical Care, P.C. is located at 10809 52nd Ave, Corona, NY 11368. The listed phone number is (718) 393-0600.

What is Corona Comprehensive Medical Care, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Corona Comprehensive Medical Care, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.