Individual
MRS. RADA KORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2180 SMITH ST, MERRICK, NY 11566-3616
(347) 414-6307
Mailing address
2180 SMITH ST, MERRICK, NY 11566-3616
(347) 414-6307
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
F350359-1
NY
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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