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STELLA A KOSIBOROP DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1043291008

Individual Registrant:
 STELLA A KOSIBOROP DDS
Gender: F

Location and contact information for practice:
7410 35TH AVE STE 106W JACKSON HTS, NY 11372-8160 US
Tel: 718-426-4040  Fax: --

Contact information for business:
7410 35TH AVE STE 106W JACKSON HTS, NY 11372-8160 US
Tel: 718-426-4040  Fax: --

Registration Information:
NPI: 1043291008
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
NY0451691

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
01574767NY05




HEALTH CARE JOBS NY - Page 1



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