Provider Demographics
NPI:1215028337
Name:KOSHINSKIE, WILLIAM GREGORY (DPT)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GREGORY
Last Name:KOSHINSKIE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 ATLANTIC AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:DE
Mailing Address - Zip Code:19970-9163
Mailing Address - Country:US
Mailing Address - Phone:302-537-7762
Mailing Address - Fax:302-537-7488
Practice Address - Street 1:118 ATLANTIC AVE STE 302
Practice Address - Street 2:
Practice Address - City:OCEAN VIEW
Practice Address - State:DE
Practice Address - Zip Code:19970-9163
Practice Address - Country:US
Practice Address - Phone:302-537-7762
Practice Address - Fax:302-537-7488
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011776L225100000X
DE0002600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA078126060002Medicaid
DE359354ZBSXMedicare PIN
PA078126060002Medicaid
DEG00716Medicare PIN