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NPI Code Detail

MEDICARE: DR. EUGENE KORO DPT

MEDICARE:  DR. EUGENE  KORO  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist018633NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578531521
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EUGENE KORO DPT
Provider Business Mailing Address
First Line : 2620 OCEAN PKWY
Second Line : UNIT 5 - G
City : BROOKLYN
State : NY
Zip : 11235-7748
Country : US
Telephone Number : 718-616-0026
Fax Number : 347-374-4496
Provider Business Practice Location Address
First Line : 726 AVENUE Z
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-6322
Country : US
Telephone Number : 718-616-0026
Fax Number : 347-374-4496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 01/27/2014

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Directions to “ DR. EUGENE KORO DPT” Practice Location

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