| Doctor Name: | DIANA KORNBERG |
| NPI Number: | 1053711515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 037989 |
| Business Practice Address: | 505 State Route 208 Suite 30 Monroe, NY - 109501608 |
| Business Phone Number: | 8457823200 |
| Business Fax Number: | |
| Mailing Address: | 16 Maybrook Rd, Suite E CAMPBELL HALL |
| State: | NY |
| Postal Code: | 109162743 |
| Phone Number: | 8456364344 |
| Fax Number: | 8456364355 |
| NPI Enumeration Date: | 09/02/2014 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 037989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |