Cordoba Vargas, Sandra Edith

Cordoba Vargas, Sandra Edith is an individual health care provider with primary practice located at 10211 Roosevelt Ave , Corona NY 11368-2331. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Cordoba Vargas, Sandra Edith can be contacted via phone (718) 898-1386.

Contact Information

Primary practice address
10211 Roosevelt Ave Corona NY 11368-2331
Phone: (718) 898-1386
Fax: (718) 898-1093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51014 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 266559 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 051014 Connecticut

Profile Details

NPI number 1508135914
LBN Legal business name Cordoba Vargas, Sandra Edith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2011
Last updated Oct 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508135914 NPPES
New York MEDICAID 03833878
New York Other 51014

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