Individual
GEETHA KOUSHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 CANAL LANDING BLVD, SUITE 1, ROCHESTER, NY 14626-5107
(585) 368-4050
(585) 723-6705
Mailing address
105 CANAL LANDING BLVD, SUITE 1, ROCHESTER, NY 14626-5107
(585) 368-4050
(585) 723-6705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
272485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03712609
—
NY
Enumeration date
07/20/2010
Last updated
06/07/2016
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