Individual provider · Type 1 NPI

Lauren Irene Kossack, PA

Surgical Physician Assistant · New York, NY

NPI number 1073752986 Active

Practice location

1275 York Ave
New York, NY 10065-6007

Mailing address

140 E 28th St Apt 4K
New York, NY 10016-0049

Other practice locations

  • 3201 Kings Hwy, Brooklyn, NY 11234-2625 · (718) 951-2927

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X008241 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1073752986

Lauren Irene Kossack, PA's National Provider Identifier is 1073752986, issued on Feb 17, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jan 3, 2020.