Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Corona Gynecological Medical Services, PC

Organization Gynecology Physician · NPI 1053553388

Corona Gynecological Medical Services, PC provides Gynecology Physician services 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 Not confirmed with CMS for 17 years — call before visiting
Phone: (718) 779-2666
Fax: (718) 779-6006
Show map & directions

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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