MEDICARE: BARBARA KOSIUR RN

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
1	251300000X	Local Education Agency (LEA)	3997561	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225313786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA KOSIUR RN

Provider Business Mailing Address
First Line	:	1091 WEBSTER ST
Second Line	:
City	:	SCHENECTADY
State	:	NY
Zip	:	12303-1738
Country	:	US
Telephone Number	:	518-881-3723
Fax Number	:

Provider Business Practice Location Address
First Line	:	1091 WEBSTER ST
Second Line	:
City	:	SCHENECTADY
State	:	NY
Zip	:	12303-1738
Country	:	US
Telephone Number	:	518-881-3723
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2011
Last Update Date	:	10/17/2011

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