Individual
MR. ROBERT KOSTANYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 LAKE RD, SUITE A # 144, CONGERS, NY 10920
(914) 729-7999
Mailing address
75 LAKE RD, SUITE A # 144, CONGERS, NY 10920
(914) 729-7999
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
07/02/2024
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