Korba, Michael N

Korba, Michael N is an individual health care provider with primary practice located at 1062 State Route 38 , Owego NY 13827-3209. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Korba, Michael N can be contacted via phone (607) 687-4000.

Contact Information

Primary practice address
1062 State Route 38 Owego NY 13827-3209
Phone: (607) 687-4000
Fax: (607) 687-6396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17591 New York

Profile Details

NPI number 1922263110
LBN Legal business name Korba, Michael N
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2008
Last updated Jul 28th, 2008 - about 17 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 1922263110 NPPES
New York Other 00618162 GROUP MEDICAID NUMBER
New York Other 39062A GROUP MEDICAID NUMBER

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