Organization
ARTHRITIS OF CORNWALL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOSHNAF ANTAR M.D. (OWNER)
(845) 458-4868
Entity
Organization
Contact information
Practice address
162 RIDGE RD, NEW CITY, NY 10956-6909
(347) 249-9673
(845) 565-4815
Mailing address
21 LAUREL AVE, CORNWALL, NY 12518-1469
(845) 458-4868
(845) 565-4801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
219104
NY
Other
Enumeration date
04/12/2010
Last updated
05/27/2010
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