CORNELL MEDICAL, PC
Radiology at 39 Ave, Flushing, NY

License number
New York 001367
Category
Acupuncture
Type
Acupuncturist
License number
New York 130031
Category
Osteopathic Medicine
Type
Internal Medicine
License number
New York 167790
Category
Neurology
Type
Neurology
License number
New York 022580
Category
Restorative Service Providers
Type
Physical Therapist
License number
New York 167790
Category
Technologists
Type
EEG
License number
New York 167790
Category
Technologists
Type
Electroneurodiagnostic
License number
New York 107344-1
Category
Technologists
Type
Radiography
Owner
Name: MRS. RAQUEL G KELLY
Title: OFFICE MANAGER
Phone: (718) 961-8817
Address
Address
13618 39Th Ave SUITE 906, Flushing, NY 11354
National Provider ID: 1649337890
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CORNELL MEDICAL, PC

Flushing, NY

Status:
Inactive
Industry:
Management Services, Specialty Outpatient Clinic Individual/Family Services
Registration:
Aug 2, 2005
Addresses:
136-18 39 St 9, Flushing, NY 11354 (Physical)
13618 39 Ave, Flushing, NY 11354
State ID:
3238192
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Office Managers:
Jayasekharan Komerath, 136-18 39 St 9, Flushing, NY 11354 (Physical),Whilma Manita Partner, Physical Therapist, inactive,David W. Rabinovici Medical Doctor, Neurology, inactive,...
Agent:
Spiegel & Utrera, P.a., Pc,45 John St STE 711, New York, NY 10038 (Physical)

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