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1831368984
CHARLENE KOSTUK
BRONX, NY
NPI
1831368984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 001110)
Enumeration Date
2008-02-22
Last Update Date
2008-04-29
Business Address
-- CHARLENE KOSTUK PA
111 E 210TH ST MMC -CT SURGERY MAP 5
BRONX, NY 10467-2401
Phone number: 718-920-8958
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Mailing Address
-- CHARLENE KOSTUK PA
111 E 210TH ST MAP 5A
BRONX, NY 10467-2401
Phone number: 718-920-8958
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