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Organization
KOKU GASINU PHYSICIAN P.C.
Active
Organization
KOKU GASINU PHYSICIAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOKU GASINU M.D. (OWNER)
(718) 822-2810
Entity
Organization
Contact information
Practice address
2115 STARLING AVE, BRONX, NY 10462-4311
(718) 822-2810
(718) 822-8732
Mailing address
2115 STARLING AVE, BRONX, NY 10462-4311
(718) 822-2810
(718) 822-8732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60 164779
NY
Other
Enumeration date
07/24/2012
Last updated
07/21/2022
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