Individual
RACHEL I KORNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
53 FAIRFAX RD, SAINT ALBANS, VT 05478-4405
(802) 582-4900
(802) 782-8239
Mailing address
PO BOX 1234, ALBANY, NY 12201-1234
(802) 582-8239
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
042.0015116
VT
207N00000X
Dermatology Physician
Primary
54704-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063689727
—
WI
Enumeration date
05/13/2008
Last updated
09/27/2021
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