Individual
MRS. MARIANNA KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
425 E 61ST ST, 4TH FLOOR, NEW YORK, NY 10021-8722
(212) 752-2900
(212) 752-2949
Mailing address
425 E 61ST ST, 4TH FLOOR, NEW YORK, NY 10021-8722
(718) 265-0005
(718) 265-2410
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006256-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02353208
—
NY
Enumeration date
10/06/2006
Last updated
03/18/2009
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