SearchNew York225XP0200X

Jeryn Koshy

NPI 1700138153 · on the registry since 2012 · sole proprietor

Practice

Address
14 Lawrence St
New Hyde Park, NY 11040
Phone
(516) 225-9290

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York