Cornell Medical, Pc is a
Specialist/technologist, Other - Electroneurodiagnostic based in Flushing, New York. Cornell Medical, Pc is licensed to practice in New York (license number 167790) and their current practice location is
13618 39th Ave, Suite 906, Flushing, New York. It can be reached at their office (for appointments etc.) via phone at
(718) 961-8817.
NPI number for Cornell Medical, Pc is 1649337890 and their current mailing address is 13618 39th Ave, Suite 906, Flushing, New York. Cornell Medical, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1649337890.
Healthcare Provider's Profile
| Full Name | Cornell Medical, Pc |
|---|
| Type | Facility |
|---|
| Speciality | Specialist/technologist, Other - Electroneurodiagnostic |
|---|
| Location | 13618 39th Ave, Flushing, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649337890
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Cornell Medical, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649337890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 001367 (New York) | Secondary |
| 207R00000X | Internal Medicine | 130031 (New York) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 167790 (New York) | Secondary |
| 225100000X | Physical Therapist | 022580 (New York) | Secondary |
| 246ZE0500X | Specialist/technologist, Other - Eeg | 167790 (New York) | Secondary |
| 2471C3402X | Radiologic Technologist - Radiography | 107344-1 (New York) | Secondary |
| 246ZE0600X | Specialist/technologist, Other - Electroneurodiagnostic | 167790 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cornell Medical, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cornell Medical, Pc
13618 39th Ave, Suite 906,
Flushing, NY 11354-5516
Ph: (718) 961-8817 | Cornell Medical, Pc
13618 39th Ave, Suite 906,
Flushing, NY 11354-5516
Ph: (718) 961-8817 |
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