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:
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Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275728560 NPPES
New York MEDICAID 03026400

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