Individual
MATTHEW R KORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1435
Mailing address
PO BOX 30548, NEW YORK, NY 10087-0548
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
179575-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01782732/003
—
NY
Enumeration date
06/23/2006
Last updated
02/06/2008
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