Individual
JERYN KOSHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 LAWRENCE ST, NEW HYDE PARK, NY 11040-1721
(516) 225-9290
Mailing address
14 LAWRENCE ST, NEW HYDE PARK, NY 11040-1721
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017588
NY
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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