Kostamo, Kathryne

Kostamo, Kathryne is an individual health care provider with primary practice located at 391 Myrtle Ave Ste 200 , Albany NY 12208-3835. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Kostamo, Kathryne can be contacted via phone (518) 262-4942.

Contact Information

Primary practice address
391 Myrtle Ave Ste 200 Albany NY 12208-3835
Phone: (518) 262-4942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 312239 New York

Profile Details

NPI number 1336660349
LBN Legal business name Kostamo, Kathryne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Sep 22nd, 2021 - about 5 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 1336660349 NPPES
Florida MEDICAID TRN25562

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