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 provides Specialist services 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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