Individual
ANNA ELIZABETH KOKOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 FRONT ST, NEW YORK, NY 10038-2033
(212) 385-3700
Mailing address
220 FRONT ST, NEW YORK, NY 10038-2033
(301) 980-5489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008677
MD
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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