Individual provider · Type 1 NPI

Lisa Koshy

Acute Care Nurse Practitioner · New York, NY

NPI number 1669096814 Active

Practice location

1468 Madison Ave
New York, NY 10029-6508

Mailing address

14 Lawrence St
New Hyde Park, NY 11040-1721

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF431489-1 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1669096814

Lisa Koshy's National Provider Identifier is 1669096814, issued on Jun 3, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Jun 3, 2020.