Most Relevant Information
Provider Data
| NPI Number: | 1003668294 |
| Provider Name: | YULIYA KOSHKINA AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 12772 |
Most Important Dates
| Enumeration Date: | 04/02/2024 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
761 MAIN AVE STE 201
NORWALK
CT
068511080
Practice Location Phone/Fax
| Phone: | 2038535000 |
| Fax: | 2038535001 |
Provider Mailing Location
761 MAIN AVE STE 201
NORWALK
CT
068511080
Provider Mailing Phone/Fax
| Phone: | 9292941511 |
| Fax: | 2038535001 |