Kostko Medical Pllc
LBN: Kostko Medical Pllc
Kostko Medical Pllc is an health care organization with primary practice located at 9876 Queens Blvd Ste1Jk, Rego Park NY 11374-4398. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Kostko Medical Pllc can be contacted via phone (718) 459-8900, or through Kostko, Semyon via phone (718) 459-8900.
Contact Information
Primary practice address
9876 Queens Blvd Ste1Jk
Rego Park NY 11374-4398
Phone: (718) 459-8900
Fax: (718) 459-8903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1568853158 |
|---|---|
| LBN Legal business name | Kostko Medical Pllc |
| DBA Doing business as | |
| Authorized official | Kostko, Semyon Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 18th, 2015 |
| Last updated | Apr 13th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568853158 | NPPES |
| New York | MEDICAID | 02621089 |
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