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Individual
WILLIAM M KOROSH
Active
Individual
WILLIAM M KOROSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011277-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01584798
—
NY
01
—
P674444
OXFORD
—
Enumeration date
09/13/2006
Last updated
05/02/2008
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