Koslow, Paul M
Koslow, Paul M is an sole proprietor health care provider with primary practice located at 8911 63Rd Dr , Rego Park NY 11374-3852. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Koslow, Paul M can be contacted via phone (718) 639-9887.Contact Information
Primary practice address
8911 63Rd Dr
Rego Park NY 11374-3852
Phone: (718) 639-9887
Fax: (718) 457-5308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N005473 | New York |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N005473 | New York |
Profile Details
| NPI number | 1629018627 |
|---|---|
| LBN Legal business name | Koslow, Paul M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Aug 23rd, 2010 - about 16 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 | 1629018627 | NPPES |
| New York | MEDICAID | 01945371 | |
| New York | Other | 1499548 |
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