Provider Demographics
NPI:1205808524
Name:KORNSTEIN, HOWARD STRONG (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:STRONG
Last Name:KORNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:61 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5106
Mailing Address - Country:US
Mailing Address - Phone:914-948-5157
Mailing Address - Fax:914-948-3763
Practice Address - Street 1:61 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5106
Practice Address - Country:US
Practice Address - Phone:914-948-5157
Practice Address - Fax:914-948-3763
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY204042207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02105764Medicaid
NY02105764Medicaid
NY5T9541Medicare ID - Type Unspecified