Provider Demographics
NPI:1851620397
Name:DUSHAN KOSOVICH MD PC
Entity Type:Organization
Organization Name:DUSHAN KOSOVICH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DUSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-661-9449
Mailing Address - Street 1:333 E 46TH ST
Mailing Address - Street 2:1G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-7401
Mailing Address - Country:US
Mailing Address - Phone:212-661-9449
Mailing Address - Fax:212-661-1882
Practice Address - Street 1:333 E 46TH ST
Practice Address - Street 2:1G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-7401
Practice Address - Country:US
Practice Address - Phone:212-661-9449
Practice Address - Fax:212-661-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)