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1710070933
KATHERINE KOSTAKOS
BRONX, NY
NPI
1710070933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 191727)
Enumeration Date
2006-10-02
Last Update Date
2011-10-17
Business Address
KATHERINE KOSTAKOS MD
MMG - RIVERDALE 3510 JOHNSON AVENUE
BRONX, NY 10463
Phone number: 718-601-8205
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Mailing Address
KATHERINE KOSTAKOS MD
3510 JOHNSON AVE
BRONX, NY 10463-1603
Phone number: 718-601-8205
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