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1356932362
ADAM KOSSAKOWSKI
RIDGEWOOD, NY
NPI
1356932362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 046814)
Enumeration Date
2021-02-02
Last Update Date
2021-02-02
Business Address
ADAM KOSSAKOWSKI
1933 GATES AVE
RIDGEWOOD, NY 11385-2434
Phone number: 646-549-1059
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Mailing Address
ADAM KOSSAKOWSKI
1933 GATES AVE
RIDGEWOOD, NY 11385-2434
Phone number: 646-549-1059
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