Individual
LATRICE V BELFON-KORNYOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
(315) 475-1448
Mailing address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
(315) 475-1448
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
244245
NY
2080P0203X
Pediatric Critical Care Medicine Physician
244245
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000529533001
BC/BS
—
05
—
02911755
—
NY
01
—
071121000069
FIDELIS
—
01
—
1214298
IHA
—
Enumeration date
07/05/2007
Last updated
03/30/2016
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