Individual
CHRISTINA KOSACHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 SOUTH AVE STE 104, ROCHESTER, NY 14620-2740
(585) 256-3000
(585) 256-3045
Mailing address
234 BENNINGTON HILLS CT, WEST HENRIETTA, NY 14586-9774
(585) 290-3284
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F346626-01
NY
Other
Enumeration date
11/22/2019
Last updated
11/06/2020
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