Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | 279840 | NY |
Y | 207RX0202X | Medical Oncology | 35.144407 | OH |
NPI | 1144586348 |
---|---|
Provider Name | Dr. Christine Alexis Cordova |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-2708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 14/02/2022 |