Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 812990 | NY |
NPI | 1639471899 |
---|---|
Provider Name | Mrs. Floridalma Cordova |
First Address | Jamaica, NY 11435-3941 |
Second Address | Jamaica, NY 11435-3941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2010 |
Last Update Date | 21/11/2010 |