Individual
MRS. CAROLE LINDA KORNSWEIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
71 S CENTRAL AVE, SUITE 303, VALLEY STREAM, NY 11580-5495
(516) 524-0450
(516) 791-8631
Mailing address
29 GEORGIA AVE, LONG BEACH, NY 11561-1232
(516) 524-0450
(516) 791-8631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
849
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000057740501
UNITED HEALTHCARE
—
01
—
AS1681
OXFORD INSURANCE
—
Enumeration date
01/25/2007
Last updated
02/09/2017
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