Provider Demographics
NPI:1558565465
Name:TAUBMAN & KORN MDPC
Entity Type:Organization
Organization Name:TAUBMAN & KORN MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-482-4343
Mailing Address - Street 1:900 NORTHERN BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5302
Mailing Address - Country:US
Mailing Address - Phone:516-482-4343
Mailing Address - Fax:516-482-0112
Practice Address - Street 1:900 NORTHERN BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5302
Practice Address - Country:US
Practice Address - Phone:516-482-4343
Practice Address - Fax:516-482-0112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY072H4510OtherBCBS
NY204977OtherHIP
NY001428882019OtherUNITED HEALTHCARE
NY002040177006OtherUNITED HEALTHCARE
NY000460781002OtherUNITED HEALTHCARE
NY027D9710OtherBCBS
NY15164OtherVYTRA
NY44999OtherVYTRA
NYAP486OtherOXFORD
NY0200172OtherGHI
NY157880OtherHIP
NY3C5357OtherHEALTHNET
NY157306OtherHIP
NY4654032OtherCIGNA
NY4C0985OtherHEALTHNET
NYAP632OtherOXFORD
NY02200R10OtherBCBS
NY187213OtherHIP
NY1C6558OtherHEALTHNET
NY001324762001OtherUNITED HEALTHCARE
NY6692392OtherCIGNA
AP630OtherOXFORD
NYAP630OtherOXFORD
NY0488969OtherAETNA
NY1C6560OtherHEALTHNET
NY2261681OtherCIGNA
NY9689415OtherCIGNA
NYP2084205OtherOXFORD
NY4C0985OtherHEALTHNET