Tadeusz Korszun, M.D. P.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

230629 Issued in NY

Legal business name

TADEUSZ KORSZUN, M.D. P.C

Practice address

55 Northern Blvd
Suite 103
Great Neck, NY 11021-4058

Phone

(516) 993-4551

Fax

(516) 466-9353

NPI assigned

May 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tadeusz Korszun, M.D

Title

Owner

Phone

(516) 993-4551

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1730356023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NORTHERN BLVD",
            "address_2": "SUITE 103",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214058",
            "telephone_number": "516-466-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTHERN BLVD",
            "address_2": "SUITE 103",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214058",
            "telephone_number": "516-993-4551",
            "fax_number": "516-466-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADEUSZ KORSZUN, M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "KORSZUN",
        "authorized_official_first_name": "TADEUSZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-993-4551",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "230629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen L Sylvan, DMD
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• Family Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.