Provider Demographics
NPI:1831295641
Name:KORPI, CARL
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:KORPI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 ROUTE 25A
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2006
Mailing Address - Country:US
Mailing Address - Phone:631-476-3000
Mailing Address - Fax:631-476-1436
Practice Address - Street 1:281 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2006
Practice Address - Country:US
Practice Address - Phone:631-476-3000
Practice Address - Fax:631-476-1436
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165270207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY186221Medicare ID - Type Unspecified
NYF46624Medicare UPIN