Individual
DOUGLAS KORNREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1980 CROMPOND RD, HUDSON VALLEY HOSPITAL CNTR, CORTLANDT MANOR, NY 10567
(914) 737-9000
(845) 790-2613
Mailing address
PO BOX 550, 2 CATHARINE ST, POUGHKEEPSIE, NY 12602
(845) 790-2614
(845) 790-2613
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
220850
NY
207L00000X
Anesthesiology Physician
Primary
220850-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02425592
—
NY
01
—
P00197943
RAILROAD MEDICARE
—
Enumeration date
07/11/2006
Last updated
02/19/2015
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