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Dr. Koshy Samuel, MD
Specialist in Rockville Centre, New York
NPI 1639231657

Koshy Samuel is a Specialist based in Woodbury, NY. Koshy Samuel practices in Rockville Centre, NY and has the professional credentials of MD. The NPI Number for Koshy Samuel is 1639231657 and holds a License No. 189427 (New York).

The current practice location address for Koshy Samuel is 176 N Village Ave, Rockville Centre, NY and can be reached out via phone at 516-764-2115.

Location: 176 N Village Ave, Rockville Centre, NY, 11797-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639231657
Provider Name
Koshy Samuel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
176 N Village Ave, Rockville Centre, NY, 11797-1243
Phone Number
516-764-2115
Fax Number
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1544123 05 NY
institution
Provider Business Practice Location Address Details
Address
176 N Village Ave
City
Rockville Centre
State
New York
Zip
11570-3800
Phone Number
516-764-2115
Fax Number
person
Provider Business Mailing Address Details
Address
176 N Village Ave
City
Rockville Centre
State
New York
Zip
11570-3800
Phone Number
516-764-2115
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
189427 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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