Ashley Kosark
NPI #1477817831 in Mastic Beach, New York
Provider Information
- NPI Number
- 1477817831
- Entity Type
- Individual
- Name
- Ashley Kosark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 30, 2012
- Last Updated
- Jun 30, 2012
Practice Location
- Address
- 7 CHESTNUT PL
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-7201
- Phone
- (631) 413-2215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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