Individual
CORINNE KOKOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
648 BAY RIDGE PARKWAY, BROOKLYN, NY 11209
(718) 748-8282
(718) 836-8113
Mailing address
648 BAY RIDGE PARKWAY, BROOKLYN, NY 11209
(718) 748-8282
(718) 836-8113
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0050571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01708438
—
NY
Enumeration date
09/29/2006
Last updated
07/08/2007
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