Provider Demographics
NPI:1962896019
Name:KORAYEM, ADAM H (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:H
Last Name:KORAYEM
Suffix:
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:140 W 73RD ST
Mailing Address - Street 2:APT 10
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3021
Mailing Address - Country:US
Mailing Address - Phone:973-626-1098
Mailing Address - Fax:
Practice Address - Street 1:1425 MADISON AVE
Practice Address - Street 2:4TH FLOOR, BOX 1273
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6514
Practice Address - Country:US
Practice Address - Phone:212-241-2087
Practice Address - Fax:212-534-4079
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-26
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY3061482086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty