Individual
DR. CHARLES PHILIP KOCZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FT WASHINGTN AVE, HIP 8, NEW YORK, NY 10032-3729
(212) 305-7307
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
268585
NY
Other
Enumeration date
08/07/2007
Last updated
04/29/2014
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