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General NPI Number Information
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NPI Number | 1932211786
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Entity Type | Organization
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Legal Business Name | HARRY ROBERT MAXIMILAN KOSTER, MD PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 119-15 ATLANTIC AVENUE
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City | RICHMOND HILL
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State | NY
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Zip | 11418
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Country | US
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Telephone | 718-805-0700
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Fax | 718-805-5621
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Provider Business Mailing Address
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Address Line | 119-15 ATLANTIC AVENUE
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City | RICHMOND HILL
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State | NY
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Zip | 11418
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Country | US
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Telephone | 718-805-0700
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Fax | 718-805-5621
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Authorized Official
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Title or Position | OWNER
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Name | MR. HARRY R KOSTER
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Credential | MD
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Telephone | 718-805-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 171657
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License Number State | NY
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