Kosko, Debra Dianne
Kosko, Debra Dianne is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Kosko, Debra Dianne can be contacted via phone (585) 922-4020.Contact Information
Primary practice address
1425 Portland Ave
Rochester NY 14621-3001
Phone: (585) 922-4020
Fax: (585) 922-4622
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 370018 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 370018 | New York |
Profile Details
NPI number | 1275588097 |
---|---|
LBN Legal business name | Kosko, Debra Dianne |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Nov 27th, 2019 - about 5 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 | 1275588097 | NPPES |
New York | MEDICAID | 02172425 |
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