Individual
DR. KATHRYNE KOSTAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
391 MYRTLE AVE STE 200, ALBANY, NY 12208-3835
(518) 262-4942
Mailing address
391 MYRTLE AVE STE 200, ALBANY, NY 12208-3835
(518) 262-4942
(518) 262-5291
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
312239
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TRN25562
—
FL
Enumeration date
06/29/2017
Last updated
09/22/2021
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