| Doctor Name: | DR. ROBERT KORMENDI |
| NPI Number: | 1174654487 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 206148 |
| Business Practice Address: | 8339 Daniels St Briarwood, NY - 114351208 |
| Business Phone Number: | 7185234141 |
| Business Fax Number: | 7182972311 |
| Mailing Address: | 14160 Pershing Crescent, BRIARWOOD |
| State: | NY |
| Postal Code: | 114351946 |
| Phone Number: | 7185234141 |
| Fax Number: | 7182972311 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 07/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 206148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |