MEDICARE: CORONA MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1699026385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORONA MEDICAL PC

Provider Business Mailing Address
First Line	:	PO BOX 650067
Second Line	:
City	:	FRESH MEADOWS
State	:	NY
Zip	:	11365-0067
Country	:	US
Telephone Number	:	917-605-7233
Fax Number	:	718-998-4252

Provider Business Practice Location Address
First Line	:	40-11 WARREN ST
Second Line	:	2ND FLOOR
City	:	ELMHURST
State	:	NY
Zip	:	11373-1700
Country	:	US
Telephone Number	:	718-426-8100
Fax Number	:	718-396-0407

Authorized Official
Title or Position	:	OFFICER/PHYSICIAN
Name	:	DR. AFSHIN TAVAKOLY
Credential	:	M.D.
Telephone Number	:	917-605-7233

Provider Enumeration Date	:	09/21/2012
Last Update Date	:	10/30/2024

Similar Medicare Providers

1255504569 — ANIBAL ROMERO, D.D.S.,P.C.
Practice Location Address:

4011 WARREN ST
ELMHURST, NY
11373-1700

Practice Phone: 718-426-3434
Practice Fax: 718-426-2114

1407390982 — ROADSIDE PHYSICAL THERAPY P.C
Practice Location Address:

4011 WARREN ST , 2F
ELMHURST, NY
11373-1700

Practice Phone: 718-898-1015
Practice Fax: 718-396-0407

1528730470 — MH MEDICAL SERVICES P.C
Practice Location Address:

4011 WARREN ST
ELMHURST, NY
11373-1700

Practice Phone: 718-972-2704
Practice Fax: 917-396-4077

1043928799 — JOHN BERNARD VILLEGAS
Practice Location Address:

4011 WARREN ST BSMT
ELMHURST, NY
11373-1700

Practice Phone: 929-429-2300
Practice Fax:

1811844004 — BRUN PHYSICAL THERAPY P.C.
Practice Location Address:

5739 VAN HORN STREET
ELMHURST, NY
11373-4851

Practice Phone: 929-329-7901
Practice Fax: 866-484-8049

1477401545 — KEERTHANA RAJAGOPAL PA-C
Practice Location Address:

4016 74TH ST FL 1
ELMHURST, NY
11373-5602

Practice Phone: 718-682-7090
Practice Fax:

Directions to “CORONA MEDICAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.