MEDICARE: DR. JAY LEE KORN 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
1	207R00000X	Internal Medicine Physician	092822-1	NY

General Provider Information

NPI Number	:	1295941706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY LEE KORN MD

Provider Business Mailing Address
First Line	:	944 PARK AVE FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-0319
Country	:	US
Telephone Number	:	239-398-5717
Fax Number	:

Provider Business Practice Location Address
First Line	:	944 PARK AVE FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-0319
Country	:	US
Telephone Number	:	239-398-5717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	05/24/2026

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