Organization
EAST END INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J KORNRICH MD (PRESIDENT)
(631) 727-6122
Entity
Organization
Contact information
Practice address
887 OLD COUNTRY RD, SUITE A, RIVERHEAD, NY 11901-2115
(631) 727-6122
(631) 727-2672
Mailing address
887 OLD COUNTRY RD, SUITE A, RIVERHEAD, NY 11901-2115
(631) 727-6122
(631) 727-2672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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