Individual
DR. DEBBIE LYNN KORWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
167 WHITE TAIL RUN, GRAND ISLAND, NY 14072-3223
(716) 773-1632
Mailing address
167 WHITE TAIL RUN, GRAND ISLAND, NY 14072-3223
(716) 773-1632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
161885-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161885-1
MEDICAL LICENSE
NY
Enumeration date
03/19/2010
Last updated
03/19/2010
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