Individual
DR. ADINA WENDY KORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
143 MAPLE AVE, CEDARHURST, NY 11516
(516) 569-0568
Mailing address
570 RICA LANE, WOODMERE, NY 11598
(516) 569-8145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016361-1
NY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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