Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 017567 | NY |
Y | 103TC0700X | Clinical Psychologist | 017567 | NY |
N | 103TR0400X | Rehabilitation Psychologist | 017567 | NY |
NPI | 1295989317 |
---|---|
Provider Name | Dr. Matthew E. Korner |
First Address | New York, NY 10003-5641 |
Second Address | New York, NY 10003-5641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2008 |
Last Update Date | 19/06/2014 |