Cordova, Angelica Jane

Cordova, Angelica Jane is an sole proprietor health care provider with primary practice located at 6830 76Th St Apt 2A , Middle Village NY 11379-2804. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Cordova, Angelica Jane can be contacted via phone (347) 554-1035.

Contact Information

Primary practice address
6830 76Th St Apt 2A Middle Village NY 11379-2804
Phone: (347) 554-1035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1710665104
LBN Legal business name Cordova, Angelica Jane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2023
Last updated Jul 6th, 2023 - about last year

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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