| NPI | 1659855583 |
|---|---|
| Former Name | GENEVIEVE KOCOLOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 022568) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2025-04-10 |