Provider Demographics
NPI:1457511727
Name:KOSINKO, CLAY (DC)
Entity Type:Individual
Prefix:
First Name:CLAY
Middle Name:
Last Name:KOSINKO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1835
Mailing Address - Country:US
Mailing Address - Phone:814-341-8816
Mailing Address - Fax:412-381-8503
Practice Address - Street 1:1927 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1835
Practice Address - Country:US
Practice Address - Phone:412-381-4422
Practice Address - Fax:412-381-8503
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010027111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor