Provider Demographics
NPI:1962503425
Name:KOSINSKI, NORBERT BASIL (DPM)
Entity Type:Individual
Prefix:DR
First Name:NORBERT
Middle Name:BASIL
Last Name:KOSINSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-3034
Mailing Address - Country:US
Mailing Address - Phone:518-370-4331
Mailing Address - Fax:518-372-9256
Practice Address - Street 1:1354 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-3034
Practice Address - Country:US
Practice Address - Phone:518-370-4331
Practice Address - Fax:518-372-9256
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002213213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56060AMedicare ID - Type Unspecified
NYT89445Medicare UPIN