Individual
MS. KATHRYN ANN KOSHANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
STONY BROOK UNIVERSITY, 100 NICOLLS RD, STONY BROOK, NY 11794-3500
(631) 632-7217
(631) 632-3231
Mailing address
22 MIDDAY DR, CENTEREACH, NY 11720-2315
(631) 471-5476
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0294
NY
Other
Enumeration date
03/31/2006
Last updated
05/28/2021
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