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Individual
MRS. MERLYN JACOB KOSHY
Active
Individual
MRS. MERLYN JACOB KOSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018251
NY
363A00000X
Physician Assistant
25MP00351600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04342201
—
NY
05
—
103367085
—
PA
Enumeration date
12/13/2014
Last updated
11/25/2020
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