Basic Information
| Provider Information | |||||||||
| NPI: | 1316014368 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KORN | ||||||||
| FirstName: | JOYCE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 227 W 15TH #10 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100112401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127413876 | ||||||||
| FaxNumber: | 2124142795 | ||||||||
| Practice Location | |||||||||
| Address1: | 119 W 57TH | ||||||||
| Address2: | SUITE 1100 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100192401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127574488 | ||||||||
| FaxNumber: | 2127573555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2006 | ||||||||
| LastUpdateDate: | 12/03/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 0507391 | NY | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.