Individual
AVRAHAM KOSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15 NEIL COURT, INSIDE JCC, OCEANSIDE, NY 11572
(516) 766-0505
(516) 766-0680
Mailing address
15 NEIL COURT, INSIDE JCC, OCEANSIDE, NY 11572
(516) 766-0505
(516) 766-0680
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
029739
NY
Other
Enumeration date
10/30/2007
Last updated
03/10/2008
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