Provider Demographics
NPI:1750643532
Name:KOSKOWSKI, DALE VIRGINIA (MSED)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:VIRGINIA
Last Name:KOSKOWSKI
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:DALE
Other - Middle Name:
Other - Last Name:KOSKOWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED; SAS
Mailing Address - Street 1:930 NORTHUMBERLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-2814
Mailing Address - Country:US
Mailing Address - Phone:518-421-2372
Mailing Address - Fax:518-346-6869
Practice Address - Street 1:930 NORTHUMBERLAND DRIVE
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-2814
Practice Address - Country:US
Practice Address - Phone:518-421-2372
Practice Address - Fax:518-346-6869
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist