Individual
MRS. KLEMENTINA KOCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 BAINBRIDGE AVE FL MAP33, BRONX, NY 10467-2404
(718) 920-6139
(718) 515-7940
Mailing address
3400 BAINBRIDGE AVE FL MAP33, BRONX, NY 10467-2404
(718) 920-6139
(718) 515-7940
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
019240-1
NY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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