Organization
STEVEN M KOSOFF DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL KOSOFF DDS (OWNER/DENTIST)
(518) 286-3500
Entity
Organization
Contact information
Practice address
1 AGWAY DR, RENSSELAER, NY 12144-9637
(518) 286-3500
(518) 286-3600
Mailing address
1 AGWAY DR, RENSSELAER, NY 12144-9637
(518) 286-3500
(518) 286-3600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
040946
NY
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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