Jacob Koruth, M.D

NPI 1265652051 · on the registry since 2007 · sole proprietor

Practice

Address: 1190 5th Ave
New York, NY 10029
Phone: (212) 427-1540
Fax: (212) 241-9701
Organisation at this address: Icahn School Of Medicine At Mount Sinai
Faculty Practice Associatge, Mount Sinai School Of Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 114

Registry record

Primary taxonomy: 207RC0001X
207RC0001X
Also registered as: 207RC0000X
Licence states on file: NE, NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York