Provider Demographics
NPI:1912925793
Name:KORENSTEIN, DEBORAH R (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:R
Last Name:KORENSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E. 66TH ST.
Mailing Address - Street 2:MEMORIAL SLOAN-KETTERING CANCER CENTER (ALTFU)
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:646-888-4730
Mailing Address - Fax:646-888-4923
Practice Address - Street 1:300 E 66TH ST
Practice Address - Street 2:MEMORIAL SLOAN-KETTERING CANCER CENTER (ALTFU)
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6800
Practice Address - Country:US
Practice Address - Phone:646-888-4730
Practice Address - Fax:646-888-4923
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202646207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
492191Medicare ID - Type Unspecified
G32200Medicare UPIN