Belfon-Kornyoh, Latrice V

Belfon-Kornyoh, Latrice V is an individual health care provider with primary practice located at 819 S Salina St , Syracuse NY 13202-3527. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Belfon-Kornyoh, Latrice V can be contacted via phone (315) 476-7921.

Contact Information

Primary practice address
819 S Salina St Syracuse NY 13202-3527
Fax: (315) 475-1448
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 244245 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 244245 New York

Profile Details

NPI number 1598963134
LBN Legal business name Belfon-Kornyoh, Latrice V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Mar 30th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598963134 NPPES
Other 1214298 IHA
Other 000529533001 IHA
MEDICAID 02911755 IHA
Other 071121000069 IHA

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