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NPI Code Detail

MEDICARE: DEBORAH R KORENSTEIN MD

MEDICARE: DEBORAH R KORENSTEIN MD
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
1207R00000XInternal Medicine Physician202646NY

General Provider Information

NPI Number : 1912925793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH R KORENSTEIN MD
Provider Business Mailing Address
First Line : 30 E. 66TH ST.
Second Line : MEMORIAL SLOAN-KETTERING CANCER CENTER (ALTFU)
City : NEW YORK
State : NY
Zip : 10065
Country : US
Telephone Number : 646-888-4730
Fax Number : 646-888-4923
Provider Business Practice Location Address
First Line : 300 E 66TH ST
Second Line : MEMORIAL SLOAN-KETTERING CANCER CENTER (ALTFU)
City : NEW YORK
State : NY
Zip : 10065-6800
Country : US
Telephone Number : 646-888-4730
Fax Number : 646-888-4923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 02/11/2015

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