CORONA MEDICAL ASSOCIATES
Managed Care Organizations at 91 St, Flushing, NY

License number
New York 152166
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. JAIME F. ROMAN M.D.
Title: PRESIDENT
Phone: (718) 205-5355
Address
Address
3751 91St St, Flushing, NY 11372
National Provider ID: 1376749283
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CORONA MEDICAL ASSOCIATES, PC

Flushing, NY

Industry:
Health/Allied Services
Doing business as:
Corona Medical Associates
Registration:
Dec 11, 1998
Addresses:
90-20 Elmhurst Ave, Jackson Heights, NY 11372 (Physical)
3751 91 St, Flushing, NY 11372
State ID:
2324497
Business type:
DOMESTIC PROFESSIONAL CORPORATION
President, Principal:
Jaime Roman (President, Principal), 90-20 Elmhurst Ave, Jackson Heights, NY 11372 (Physical)
Agent:
C/O Fanny Wainstein,120 Everitt Ave, Hewlett, NY 11557 (Physical)

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