Organization
PAUL KOSLOW, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M KOSLOW DPM (OWNER)
(718) 639-9887
Entity
Organization
Contact information
Practice address
8911 63RD DR, REGO PARK, NY 11374-3852
(718) 639-9887
(718) 457-5308
Mailing address
8911 63RD DR, REGO PARK, NY 11374-3852
(718) 639-9887
(718) 457-5308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N005473
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01945371
—
NY
Enumeration date
02/19/2008
Last updated
02/26/2008
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