Individual
MR. MATTHEW PETER KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3498
(718) 226-8851
Mailing address
354 CROMWELL AVE., STATEN ISLAND, NY 10305
(907) 982-5058
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015867
NY
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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