Organization
GWEN S. KOROVIN, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GWEN S KOROVIN M.D. (DOCTOR)
(212) 879-6630
Entity
Organization
Contact information
Practice address
70 E 77TH ST, 1B, NEW YORK, NY 10075-1811
(212) 879-6630
(212) 650-9736
Mailing address
70 E 77TH ST, 1B, NEW YORK, NY 10075-1811
(212) 879-6630
(212) 650-9736
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
163850
NY
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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