Provider Demographics
NPI:1427141761
Name:KORNHABER, STEVEN F (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:KORNHABER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 S BAYLES AVE
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3754
Mailing Address - Country:US
Mailing Address - Phone:516-883-3311
Mailing Address - Fax:516-883-6144
Practice Address - Street 1:30 S BAYLES AVE
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3754
Practice Address - Country:US
Practice Address - Phone:516-883-3311
Practice Address - Fax:516-883-6144
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036776122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist