Kostko, Semyon

Kostko, Semyon is an sole proprietor health care provider with primary practice located at 9701 66Th Ave , Rego Park NY 11374-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kostko, Semyon can be contacted via phone (718) 275-5200.

Contact Information

Primary practice address
9701 66Th Ave Rego Park NY 11374-4245
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 234140-1 New York

Profile Details

NPI number 1467490896
LBN Legal business name Kostko, Semyon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467490896 NPPES
New York MEDICAID 02621089

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