CHARLENE KOSTUK

BRONX, NY
NPI1831368984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  001110)
Enumeration Date2008-02-22
Last Update Date2008-04-29
Business Address
-- CHARLENE KOSTUK PA
111 E 210TH ST MMC -CT SURGERY MAP 5
BRONX, NY 10467-2401
Phone number: 718-920-8958
Mailing Address
-- CHARLENE KOSTUK PA
111 E 210TH ST MAP 5A
BRONX, NY 10467-2401
Phone number: 718-920-8958
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