Individual
DR. JEROME H. KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 NORTHERN BLVD SUITE 110, GREAT NECK, NY 11021
(516) 321-7400
(516) 821-7498
Mailing address
1010 NORTHERN BLVD SUITE 110, GREAT NECK, NY 11021
(516) 358-5401
(516) 358-5403
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1259941
NY
207RI0011X
Interventional Cardiology Physician
Primary
1259941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00768938
—
NY
Enumeration date
11/13/2006
Last updated
04/07/2026
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