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Individual

DR. ROBERT KORMENDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8339 DANIELS ST, BRIARWOOD, NY 11435-1208
(718) 523-4141
(718) 297-2311
Mailing address
14160 PERSHING CRESCENT, BRIARWOOD, NY 11435-1946
(718) 523-4141
(718) 297-2311

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
206148
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01765833
NY
01
6013942
GHI COMMERCIAL
NY
Enumeration date
03/08/2007
Last updated
07/13/2009
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