| Kostko Medical Pllc | |
|
9932 66th Rd Ste Lp Rego Park NY 11374-4401 | |
| (718) 459-8900 | |
| (718) 459-8903 |
| Full Name | Kostko Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9932 66th Rd Ste Lp, Rego Park, New York |
| Authorized Official Name and Position | Semyon Kostko (PRESIDENT) |
| Authorized Official Contact | 7184598900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kostko Medical Pllc 9932 66th Rd Ste Lp Rego Park NY 11374-4401 Ph: (718) 459-8900 | Kostko Medical Pllc 9932 66th Rd Ste Lp Rego Park NY 11374-4401 Ph: (718) 459-8900 |
| NPI Number | 1568853158 |
|---|---|
| Provider Enumeration Date | 02/18/2015 |
| Last Update Date | 12/10/2025 |
| Medicare PECOS PAC ID | 2264750082 |
|---|---|
| Medicare Enrollment ID | O20150407001861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568853158 | NPI | - | NPPES |
| 04093165 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Semyon Kostko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467490896 PECOS PAC ID: 5092763979 Enrollment ID: I20050106001063 |
| Provider Name | Joseph B Bernstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013954163 PECOS PAC ID: 0446261622 Enrollment ID: I20060602000024 |
| Provider Name | Lusine Grigoryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871035238 PECOS PAC ID: 3971877861 Enrollment ID: I20170915000765 |
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