Doctor Name: | DR. JOHN KOSKI |
NPI Number: | 1043589203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 219191 |
Business Practice Address: | 404 E 76th St #30b New York, NY - 100211400 |
Business Phone Number: | 9174322755 |
Business Fax Number: | |
Mailing Address: | 404 E 76th St, #30b NEW YORK |
State: | NY |
Postal Code: | 100211400 |
Phone Number: | 9174322755 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2011 |
NPI Last Update Date: | 12/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 219191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |