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1043759228
JENSEN KOSHY JACOB
NEW YORK, NY
NPI
1043759228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020643)
Enumeration Date
2017-02-21
Last Update Date
2017-02-21
Business Address
Mr. JENSEN KOSHY JACOB PA-C
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6504
Phone number: 212-256-2904
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Mailing Address
Mr. JENSEN KOSHY JACOB PA-C
18 REGINA PL
YONKERS, NY 10703-1125
Phone number: 914-400-7374
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