Individual
KOSHNAF ANTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940
(845) 342-4774
(845) 818-7555
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940
(845) 342-4774
(845) 818-7555
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
219104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02648328
—
NY
Enumeration date
08/21/2006
Last updated
08/01/2008
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