Corujo, Marlene

Corujo, Marlene is an individual health care provider with primary practice located at 18005 Hillside Ave , Jamaica NY 11432-4727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Corujo, Marlene can be contacted via phone (718) 262-6300.

Contact Information

Primary practice address
18005 Hillside Ave Jamaica NY 11432-4727
Fax: (718) 262-7045
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 209412 New York

Profile Details

NPI number 1063465987
LBN Legal business name Corujo, Marlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1063465987 NPPES
New York MEDICAID 01828202

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