Individual
LISA KOSHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
14 LAWRENCE ST, NEW HYDE PARK, NY 11040-1721
(347) 223-6745
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431489-1
NY
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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