Individual
AMY HELEN KOROBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 367-5391
Mailing address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 367-5391
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
176143
NY
207KA0200X
Allergy Physician
176143
NY
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
176143
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0564419
GHI
NY
Enumeration date
09/14/2005
Last updated
04/04/2012
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