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General NPI Number Information
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NPI Number | 1417476227
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Entity Type | Individual
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Provider Name | KATHLEEN ANN KOSINSKI PT
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Gender | Female
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 09/12/2017
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Provider Practice Location Address
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Address Line | 53 ARTERIAL PLZ
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-2512
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Country | US
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Telephone | 518-921-4189
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Fax |
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Provider Business Mailing Address
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Address Line | 8557 STATE HIGHWAY 30
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City | DELANSON
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State | NY
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Zip | 12053-4805
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Country | US
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Telephone | 518-496-5941
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12399-1
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License Number State | NY
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