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Individual
STANLEY SAUL KORNBERG
Active
Individual
STANLEY SAUL KORNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006255
NY
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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