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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RONALDO SAN JUAN CORACHEA

Active Sole Proprietor

RONALDO SAN JUAN CORACHEA is a Hand Therapy healthcare provider located in GLENDALE, New York. NPI 1669793980 is currently active in the NPPES registry. Verify at CMS.

Hand Therapy · GLENDALE, NY

Registration Details

NPI Number
1669793980
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2010 (16.155919757159 yrs)
Last Updated
Jun 22, 2010
Licenses
018679-1 (NY)
018679-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
7608 69TH PL APT 2B
GLENDALE, NY, 113857138
Browse NY providers · Browse ZIP 11385
Phone
3478866661
Primary Specialty
Hand Therapy
2251G0304X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.