Alexander, Deepu Koshy
Alexander, Deepu Koshy is an individual health care provider with primary practice located at 325 E Main St Suite 120, Patchogue NY 11772-3114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Alexander, Deepu Koshy can be contacted via phone (631) 654-3278.Contact Information
Primary practice address
325 E Main St Suite 120
Patchogue NY 11772-3114
Phone: (631) 654-3278
Fax: (631) 654-1474
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 245999 | New York |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 245999 | New York |
Profile Details
NPI number | 1275728560 |
---|---|
LBN Legal business name | Alexander, Deepu Koshy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 10th, 2007 |
Last updated | May 10th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275728560 | NPPES |
New York | MEDICAID | 03026400 |
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