Individual
MARIAM KODSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W 42ND ST STE 1055, NEW YORK, NY 10036-7901
(212) 308-9595
Mailing address
124 W 60TH ST, NEW YORK, NY 10023-7451
(929) 215-8812
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
043204
NY
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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