CORNELL MEDICAL PC NPI 1649337890

NPI Information

  • NPI: 1649337890
  • Provider Name: CORNELL MEDICAL, PC
  • Classification: Specialist/Technologist, Other - 246ZE0600X
  • Specialization: Electroneurodiagnostic
  • Entity Type: Organization
  • Address: 13618 39TH AVE
    SUITE 906
    FLUSHING, NY
    ZIP 11354
  • Phone: (718) 961-8817

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NPI Details

CORNELL MEDICAL, PC is an electroneurodiagnostic specialist technologist other in Flushing, NY. CORNELL MEDICAL, PC NPI is 1649337890. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13618 39TH AVE
SUITE 906
FLUSHING, NY
ZIP 11354-516
Phone: (718) 961-8817
Fax: (718) 961-8815

The provider's authorized official is Raquel G Kelly .
The authorized official title is Office Manager and has the following contact phone number (718) 961-8817.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturist001367NEW YORKNo
2207R00000XInternal Medicine130031NEW YORKNo
32084N0400XPsychiatry & NeurologyNeurology167790NEW YORKNo
4225100000XPhysical Therapist022580NEW YORKNo
5246ZE0500XSpecialist/Technologist, OtherEEG167790NEW YORKNo
62471C3402XRadiologic TechnologistRadiography107344-1NEW YORKNo
7246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnostic167790NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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