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Organization
KOSTKO MEDICAL PLLC
Active
Organization
KOSTKO MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEMYON KOSTKO MD (PRESIDENT)
(718) 459-8900
Entity
Organization
Contact information
Practice address
9932 66TH RD STE LP, REGO PARK, NY 11374-4401
(718) 459-8900
(718) 459-8903
Mailing address
9932 66TH RD STE LP, REGO PARK, NY 11374-4401
(718) 459-8900
(718) 459-8903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04093165
—
NY
Enumeration date
02/18/2015
Last updated
12/10/2025
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