Individual
DR. JONATHAN SCOTT KORNGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1801 AVENUE M, BROOKLYN, NY 11230-5348
(718) 252-8989
(718) 377-3062
Mailing address
1801 AVENUE M, BROOKLYN, NY 11230-5348
(718) 252-8989
(718) 377-3062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055579
NY
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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