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Individual

KOSTAS N BOTSOGLOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2475 HARLEM RD, CHEEKTOWAGA, NY 14225-4558
(877) 991-1889
Mailing address
2475 HARLEM RD, CHEEKTOWAGA, NY 14225-4558

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
262576
NY
207RR0500X
Rheumatology Physician
Primary
262576
NY

Other

Enumeration date
08/15/2008
Last updated
01/17/2024
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