Provider Demographics
NPI:1619988680
Name:HORN, CORINNE E (MD, MS)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:E
Last Name:HORN
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 E 36TH ST PH A
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3453
Mailing Address - Country:US
Mailing Address - Phone:212-889-8575
Mailing Address - Fax:212-725-2196
Practice Address - Street 1:36 E 36TH ST PH A
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3453
Practice Address - Country:US
Practice Address - Phone:212-889-8575
Practice Address - Fax:212-725-2196
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222307207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY222307OtherLISENCE
I44780Medicare UPIN
8M6951Medicare Oscar/Certification