Individual
MRS. AMY ROSE KORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
1120 OLD COUNTRY RD, # 308, PLAINVIEW, NY 11803-5021
(631) 499-0988
(631) 462-1159
Mailing address
11 PATRI CT, DIX HILLS, NY 11746-8320
(631) 462-1159
(631) 462-1159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO62773-1
NY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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