Provider Demographics
NPI:1376733311
Name:KOSHNITSKY, LILIA (MD)
Entity Type:Individual
Prefix:DR
First Name:LILIA
Middle Name:
Last Name:KOSHNITSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 PATROON CREEK BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206
Mailing Address - Country:US
Mailing Address - Phone:518-435-8360
Mailing Address - Fax:518-435-8391
Practice Address - Street 1:400 PATROON CREEK BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206
Practice Address - Country:US
Practice Address - Phone:518-435-8360
Practice Address - Fax:518-435-8391
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165417-1207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology