Individual provider · Type 1 NPI

Atanas Kostov, PA

Surgical Physician Assistant · Poughkeepsie, NY

NPI number 1245266774 Active

Practice location

45 Reade Pl
Poughkeepsie, NY 12601-3947

Call (845) 483-6217 Map

Fax (845) 483-6108

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X009294 (NY)
Physician Assistant 363A00000X009294 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1245266774

Atanas Kostov, PA's National Provider Identifier is 1245266774, issued on Jun 25, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Poughkeepsie, NY. The record was last updated on Mar 10, 2020.