Individual
RATIBOR KOSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 FERNWOOD DR, MOSCOW, PA 18444-4119
(646) 712-0340
Mailing address
44 FERNWOOD DR, MOSCOW, PA 18444-4119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
729555
NY
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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