Stella A Kosiborop in Jackson Hts - Dentist

Stella A Kosiborop - NPI 1043291008

Stella A Kosiborop is a Dentist in Jackson Hts, New York. Stella A Kosiborop practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stella A Kosiborop is 1043291008. The last update date is 2007-07-08.

Stella A Kosiborop's current location address is 7410 35th Ave, Jackson Hts, New York. You can contact this provider via phone number 7184264040. The mailing address for Stella A Kosiborop is 7410 35th Ave, Jackson Hts, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Stella A Kosiborop
Address 7410 35th Ave, Jackson Hts, New York
Phone Number 7184264040
Fax Number
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1043291008
Provider Enumeration Date 2005-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7410 35th Ave
City Jackson Hts
State New York (NY)
Post Code 113728160
Phone Number 7184264040
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 451691
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1574767 NY --

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FAQs about Stella A Kosiborop

What is the unique 10-digit identification code assigned to Stella A Kosiborop by the Centers for Medicare & Medicaid Services?

The Stella A Kosiborop has been issued the NPI (National Provider Identifier) 1043291008, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Stella A Kosiborop's facilities are geographically located?

The facilities of Stella A Kosiborop are physically situated at the following location: 7410 35Th Ave, Jackson Hts, NY, 113728160.

What is Stella A Kosiborop's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stella A Kosiborop is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Stella A Kosiborop receive its 1043291008 assignment from the Centers for Medicare & Medicaid Services?

The Stella A Kosiborop was assigned its 1043291008 by the Centers for Medicare & Medicaid Services on 2005-11-08.

As of what date were the Stella A Kosiborop's details last updated?

The information pertaining to the Stella A Kosiborop, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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