Provider Demographics
NPI:1306801733
Name:KORKMAZSKY, YELENA N (MD)
Entity type:Individual
Prefix:
First Name:YELENA
Middle Name:N
Last Name:KORKMAZSKY
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 1:34 WEBSTER AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901
Mailing Address - Country:US
Mailing Address - Phone:908-273-3397
Mailing Address - Fax:
Practice Address - Street 1:190 MEISEL AVE
Practice Address - Street 2:SPRINGFIELD PEDIATRICS
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081
Practice Address - Country:US
Practice Address - Phone:973-467-1009
Practice Address - Fax:973-467-7836
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07542200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics