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NPI Code Detail

MEDICARE: KATHERINE ROSKO LAC

MEDICARE:   KATHERINE  ROSKO  LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist004858-1NY

General Provider Information

NPI Number : 1326383613
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ROSKO LAC
Provider Business Mailing Address
First Line : 1353 GLASCO TPKE
Second Line :
City : SAUGERTIES
State : NY
Zip : 12477-3219
Country : US
Telephone Number : 917-539-2306
Fax Number : 845-684-2454
Provider Business Practice Location Address
First Line : 276 TINKER ST
Second Line :
City : WOODSTOCK
State : NY
Zip : 12498-1129
Country : US
Telephone Number : 917-539-2306
Fax Number : 845-684-2454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2012
Last Update Date : 04/14/2020

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Directions to “ KATHERINE ROSKO LAC” Practice Location

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