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NPI Code Detail

MEDICARE: DR. CELINE CORONA M.D.

MEDICARE: DR. CELINE CORONA M.D.
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
12084P0800XPsychiatry Physician314001NY
22084P0804XChild & Adolescent Psychiatry Physician314001NY
32084P0800XPsychiatry PhysicianMTL003124DC

General Provider Information

NPI Number : 1851777049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CELINE CORONA M.D.
Provider Business Mailing Address
First Line : 1100 ALABAMA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4540
Country : US
Telephone Number : 202-400-0569
Fax Number :
Provider Business Practice Location Address
First Line : 1276 FULTON AVE
Second Line :
City : BRONX
State : NY
Zip : 10456-3467
Country : US
Telephone Number : 718-992-7669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2015
Last Update Date : 10/18/2024

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Directions to “ DR. CELINE CORONA M.D.” Practice Location

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