| NPI | 1912344250 |
|---|---|
| Doing Business As | KORNBLIT MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JACK SOTERAKIS President 516-562-6231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 153429) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2019-07-18 |