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Individual

DR. SMADAR KORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
UNIVERSITY HOSPITAL, L5, STONY BROOK, NY 11794
(631) 444-1060
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
(631) 444-1060

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
199998
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02101384
NY
01
636P21
EMPIRE BC.BS
NY
01
7999112
AETNA
NY
Enumeration date
07/11/2006
Last updated
07/08/2007
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