MARIA CABODEVILLA-CONN, MD, PC
Medical Practice at Devonia Ave, Mount Vernon, NY

License number
New York 214095
Category
Medical Practice
Type
Pain Medicine
Owner
Name: DR. MARIA CABODEVILLA-CONN MD, MBA
Title: PRESIDENT
Phone: (212) 644-3600
Address
Address 2
149 EAST Devonia Ave, Mount Vernon, NY 10022
115 E 57Th St SUITE 1540, New York, NY 10022
National Provider ID: 1245334820
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARIA CABODEVILLA-CONN, M.D., PC

149 E Devonia Ave, Mount Vernon, NY 10552

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Nov 8, 2000
Inactive since:
Jan 27, 2010
State ID:
2571916
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Maria Cabodevilla-Conn, Md, 149 E Devonia Ave, Mount Vernon, NY 10552 (Physical)

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