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Individual

RUSSELL KOSIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H

Contact information

Practice address
2678 SOUTH RD STE 202, POUGHKEEPSIE, NY 12601-5254
(845) 790-5700
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A124888
CA

Other

Enumeration date
05/30/2012
Last updated
05/29/2024
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