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Organization
TADEUSZ KORSZUN, M.D. P.C
Active
Organization
TADEUSZ KORSZUN, M.D. P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TADEUSZ KORSZUN M.D (OWNER)
(516) 993-4551
Entity
Organization
Contact information
Practice address
55 NORTHERN BLVD, SUITE 103, GREAT NECK, NY 11021-4058
(516) 993-4551
(516) 466-9353
Mailing address
55 NORTHERN BLVD, SUITE 103, GREAT NECK, NY 11021-4058
(516) 466-9300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230629
LICENSE
NY
Enumeration date
05/15/2008
Last updated
03/16/2009
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