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1154670263
MATTHEW PETER KOSS
STATEN ISLAND, NY
NPI
1154670263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: NY 015867)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
MR. MATTHEW PETER KOSS PA-C
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3498
Phone number: 718-226-8851
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Mailing Address
MR. MATTHEW PETER KOSS PA-C
354 CROMWELL AVE.
STATEN ISLAND, NY 10305
Phone number: 907-982-5058
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