Individual
KRISTEN R KOSITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS
Contact information
Practice address
15 DAVENPORT AVE, APARTMENT 1E, NEW ROCHELLE, NY 10805-3444
(914) 384-1600
Mailing address
15 DAVENPORT AVE, APARTMENT 1E, NEW ROCHELLE, NY 10805-3444
(914) 384-1600
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQ88681J
—
NY
Enumeration date
09/13/2016
Last updated
09/13/2016
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