KOSSI ACOLITSE

BRONX, NY
NPI1730473406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  014720-1)
Enumeration Date2011-05-31
Last Update Date2011-05-31
Business Address
-- KOSSI ACOLITSE PA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2089
Mailing Address
-- KOSSI ACOLITSE PA
1075 GERARD AVE APT 108
BRONX, NY 10452-8864
Phone number: 718-410-2082
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