Individual
MR. MICHAEL OSIPOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
763 LARKFIELD RD, 2ND FLOOR, COMMACK, NY 11725-3131
(631) 462-2225
(631) 462-2240
Mailing address
763 LARKFIELD RD, 2ND FLOOR, COMMACK, NY 11725-3131
(631) 462-2225
(631) 462-2240
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000664
NY
Other
Enumeration date
07/26/2006
Last updated
02/28/2008
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