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Individual
ATANAS KOSTOV
Active
Individual
ATANAS KOSTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009294
NY
363AS0400X
Surgical Physician Assistant
Primary
009294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02443070
—
NY
Enumeration date
06/25/2006
Last updated
03/10/2020
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