Individual
MR. PETER TOBIAS KORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 NORTHERN BLVD, SUITE 160, GREATNECK, NY 11021
(516) 498-8400
(516) 498-8404
Mailing address
833 NORTHERN BLVD, SUITE 160, GREATNECK, NY 11021
(516) 498-8400
(516) 498-8404
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
239318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02884471
—
NY
Enumeration date
04/11/2007
Last updated
12/10/2014
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