Individual
HEATHER KOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 FRONT ST, GREENPORT, NY 11944-1655
(646) 932-5146
Mailing address
218 FRONT ST, GREENPORT, NY 11944-1655
(646) 932-5146
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001757
NY
Other
Enumeration date
01/17/2021
Last updated
09/15/2021
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