Organization
EILEEN K. KOSIERACKI, D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN KATHERINE KOSIERACKI D.O. (PHYSICIAN/OWNER)
(585) 589-6247
Entity
Organization
Contact information
Practice address
3916 LONG BRIDGE RD, ALBION, NY 14411-9310
(585) 589-6247
(585) 589-6351
Mailing address
3916 LONG BRIDGE RD, ALBION, NY 14411-9310
(585) 589-6247
(585) 589-6351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
184108
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010093901
UNIVERA
NY
01
—
000511199002
BLUE CROSS BLUE SHIELD OF WNY
NY
01
—
010184108
EXCELLUS
NY
01
—
0103805
INDEPENENT HEALTH
NY
05
—
01248562
—
NY
01
—
5745356
AETNA
NY
01
—
5900220
GHI
NY
01
—
CC7209
MEDICARE
NY
01
—
MD134P
MVP/PREFERRED CARE
NY
Enumeration date
01/04/2012
Last updated
01/04/2012
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