Korsunsky, Galina V

Korsunsky, Galina V is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3175. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Korsunsky, Galina V can be contacted via phone (207) 662-2526.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3175
Phone: (207) 662-2526
Fax: (207) 662-6236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD23658 Maine
Allopathic & Osteopathic Physicians / General Practice 208D00000X 240723 Massachusetts

Profile Details

NPI number 1679700587
LBN Legal business name Korsunsky, Galina V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Aug 4th, 2020 - about 4 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 1679700587 NPPES
Maine MEDICAID 1679700587

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