NPI: 1457017261 · CORONA, NY 11368 · Primary Care Clinic/Center · NPI assigned 11/16/2021
| Authorized Official | BAKIEVA, SHOIRAKHON (PRESIDENT) |
| NPI Enumeration Date | 11/16/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $25.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 96127 | 12 | 12 | $25.50 |