Provider Demographics
NPI:1518285246
Name:KORNFELD, DEBORAH LEAH (BA, OT, MS)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LEAH
Last Name:KORNFELD
Suffix:
Gender:F
Credentials:BA, OT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MEREDITH AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-1307
Mailing Address - Country:US
Mailing Address - Phone:585-442-4209
Mailing Address - Fax:
Practice Address - Street 1:2300 ENGLISH RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-1682
Practice Address - Country:US
Practice Address - Phone:585-966-4600
Practice Address - Fax:585-966-4639
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004606-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist