Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corona Comprehensive Medical Care, PC

Organization Specialist · NPI 1972664035

Corona Comprehensive Medical Care, PC is a Specialist in Corona, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10809 52nd Ave
Corona, NY 11368-3300
Phone: (718) 393-0600
Fax: (718) 393-3096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 157714 (NY)

Record details

NPI number1972664035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Demetrius — Owner · (718) 393-0600
NPI enumeratedDecember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address108-09a 52nd. Ave., Corona, NY 11368-3300

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