Christina Kosachook
Nurse Practitioner, Family in Rochester, NY. Individual provider (NPI-1).
NPI number1164068383
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1164068383
- Entity type
- Individual (NPI-1)
- Name
- Christina Kosachook
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2019
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F346626-01 | NY | Yes |
Practice location
990 South Ave Ste 104Rochester, NY 14620-2740
Phone 585-256-3000 · Fax 585-256-3045
Mailing address
234 Bennington Hills CtWest Henrietta, NY 14586-9774
Phone 585-290-3284
Other practice locations
1417 Waterford Rd
Walworth, NY 14568-9556
Walworth, NY 14568-9556
Phone 585-290-3284
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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