Active NPIIndividual providerSole proprietor

Dr. Stephen M Koretsky, PHD

Psychologist in Pomona, New York

NPI Number1417979717
Practice location
26 Firemens Memorial Dr, Suite 113, Pomona, NY 10970-3553
Fax
845-746-9083
Last updated
October 19, 2016

Stephen M Koretsky is a Psychologist based in Pomona, NY. Stephen M Koretsky practices in Pomona, NY and has the professional credentials of PHD. The NPI Number for Stephen M Koretsky is 1417979717 and holds a License No. 009372 (NY). The current practice location address for Stephen M Koretsky is 26 Firemens Memorial Dr, Suite 113, Pomona, NY 10970-3553 and can be reached out via phone at 845-354-8643 and via fax at 845-746-9083.

Provider Profile Details

NPI Number
1417979717
Provider Name
Stephen M Koretsky
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
26 Firemens Memorial Dr, Suite 113, Pomona, NY 10970-3553
Phone Number
845-354-8643
Fax Number
845-746-9083
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2006
Last Update Date
October 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Firemens Memorial Dr
Suite 113
Pomona, NY 10970-3553
City
Pomona
Zip
10970-3553
Phone Number
845-354-8643
Fax Number
845-746-9083
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
26 Firemens Memorial Dr
Suite 113
Pomona, NY 10970-3553
City
Pomona
State
NY
Zip
10970-3553
Phone Number
845-354-8643
Fax Number
845-746-9083

License Information

License Number
009372
License State
NY
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stephen M Koretsky, PHD?

The NPI number of Dr. Stephen M Koretsky, PHD is 1417979717. It was assigned on July 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephen M Koretsky, PHD?

Dr. Stephen M Koretsky, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NY under license number 009372.

Where does Dr. Stephen M Koretsky, PHD practice?

The practice location is 26 Firemens Memorial Dr, Suite 113, Pomona, NY 10970-3553. The office can be reached at 845-354-8643 (phone) or 845-746-9083 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417979717 directly on the NPPES registry website.

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