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Individual

GEORGE P KOSHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
Mailing address
PO BOX 788, HARTSDALE, NY 10530-0788
(718) 731-2020

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
225121
NY
207Q00000X
Family Medicine Physician
Primary
225121
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02360103
NY
Enumeration date
03/08/2006
Last updated
10/23/2009
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