Provider Demographics
NPI:1285664383
Name:TOSTANOSKI, JEAN R (MD)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:R
Last Name:TOSTANOSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HUDSON VALLEY EYE ASSOCIATES
Mailing Address - Street 2:24 SAW MILL RIVER ROAD
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532
Mailing Address - Country:US
Mailing Address - Phone:914-345-3937
Mailing Address - Fax:
Practice Address - Street 1:HUDSON VALLEY EYE ASSOCIATES
Practice Address - Street 2:24 SAW MILL RIVER ROAD
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532
Practice Address - Country:US
Practice Address - Phone:914-345-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1866151207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF86009Medicare UPIN
NY17J111Medicare PIN