Korn, Roy J

Korn, Roy J is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Korn, Roy J can be contacted via phone (518) 234-2555.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Phone: (518) 234-2555
Fax: (518) 234-8449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 167709 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 167709 New York

Profile Details

NPI number 1629035456
LBN Legal business name Korn, Roy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated May 13th, 2008 - about 16 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 1629035456 NPPES
New York MEDICAID 01163226

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