Healthcare Provider Details

I. General information

NPI: 1780698480
Provider Name (Legal Business Name): ROBERT ALAN KORNFELD D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 PORT WASHINGTON BLVD
PORT WASHINGTON NY
11050-4294
US

IV. Provider business mailing address

800 COMMUNITY DR SUITE 102
MANHASSET NY
11030-3822
US

V. Phone/Fax

Practice location:
  • Phone: 516-369-3172
  • Fax: 561-945-0888
Mailing address:
  • Phone: 516-869-3338
  • Fax: 516-869-5715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN3101
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: