Organization Name: | JAY M KORNGOLD MD PC |
NPI Number: | 1053697896 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY PALMINTERI (OFFICE MANAGER) |
Mailing Address: | 125 South Main Street New City |
State: | NY US |
Postal Code: | 10956 |
Phone Number: | 8456344554 |
Fax Number: | 8456391959 |
NPI Enumeration Date: | 10/25/2011 |
NPI Last Update Date: | 10/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 222599-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |