Kornhaber, Melissa Rose

Kornhaber, Melissa Rose is an individual health care provider with primary practice located at 1990 Deer Park Ave , Deer Park NY 11729-3303. She recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Kornhaber, Melissa Rose can be contacted via phone (631) 586-7654.

Contact Information

Primary practice address
1990 Deer Park Ave Deer Park NY 11729-3303
Phone: (631) 586-7654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 062382 New York
Dental Providers / Dentist 122300000X LL-501-19 Nevada

Profile Details

NPI number 1558822288
LBN Legal business name Kornhaber, Melissa Rose
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2019
Last updated Jun 9th, 2022 - about 2 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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