| NPI | 1649343914 |
|---|---|
| Former Legal Business Name | ROGER KOREEN, M.D. |
| Entity Type | Organization |
| Authorized Contact | ROGER KOREEN Owner 631-421-4398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 185448) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |