Individual
DR. JENNIFER LYN KOESTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE, SUITE 800, HAWTHORNE, NY 10532-2140
(914) 593-8850
(914) 593-8833
Mailing address
62 WHIPPOORWILL LAKE RD, CHAPPAQUA, NY 10514-2314
(914) 594-4609
(914) 594-4838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207294
NY
208000000X
Pediatrics Physician
Primary
207294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02131322
—
NY
Enumeration date
08/08/2006
Last updated
04/17/2008
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