Individual
ADAM KOSSAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1933 GATES AVE, RIDGEWOOD, NY 11385-2434
(646) 549-1059
Mailing address
1933 GATES AVE, RIDGEWOOD, NY 11385-2434
(646) 549-1059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046814
NY
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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