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

Corona Gynecological Medical Services, PC

Organization Gynecology Physician · NPI 1053553388

Corona Gynecological Medical Services, PC is a Gynecology Physician in Corona, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

10408 Roosevelt Ave 2nd Fl
Corona, NY 11368-2328
Phone: (718) 779-2666
Fax: (718) 779-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 092267 (NY)

Record details

NPI number1053553388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Cooper — Medical Director · (718) 779-2666
NPI enumeratedApril 1, 2009
Last updated in NPPESApril 1, 2009
Mailing address10408 Roosevelt Ave, 2nd Floor, Corona, NY 11368-2328

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