Mark Kostin, M.D
Internal Medicine in Brooklyn, NY. Individual provider (NPI-1).
NPI number1790797322
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790797322
- Entity type
- Individual (NPI-1)
- Name
- Mark Kostin
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 209566 | NY | Yes |
Practice location
1655 E 13th StBrooklyn, NY 11229-1101
Phone 718-339-3100 · Fax 718-339-3905
Mailing address
200 W 58th StNew York, NY 10019-1432
Phone 212-307-1151 · Fax 212-307-0759
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