Kostko Medical Pllc

LBN: Kostko Medical Pllc
Kostko Medical Pllc is an health care organization with primary practice located at 9932 66Th Rd Ste Lp , Rego Park NY 11374-4401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kostko Medical Pllc can be contacted via phone (718) 459-8900, or through Kostko, Semyon via phone (718) 459-8900.

Contact Information

Primary practice address
9932 66Th Rd Ste Lp Rego Park NY 11374-4401
Phone: (718) 459-8900
Fax: (718) 459-8903
Website:
Map and Directions
Authorized official contact:
Name: Kostko, Semyon Doctor of Medicine (MD)
Phone: (718) 459-8900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1568853158
LBN Legal business name Kostko Medical Pllc
DBA Doing business as
Authorized official Kostko, Semyon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2015
Last updated Dec 10th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568853158 NPPES
New York MEDICAID 04093165

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