Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000468 | CT |
Y | 222Z00000X | Podiatrist | 000468 | CT |
N | 213ES0131X | Foot Surgery | 000468 | CT |
NPI | 1295712891 |
---|---|
Provider Name | Dr. Eric Myles Kosofsky |
First Address | Hartford, CT 06105-2416 |
Second Address | Hartford, CT 06105-2416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2005 |
Last Update Date | 05/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004162476 | (05) | CT |
0190960002 | CIGNA (01) | |
030000468CT04 | ANTHEM BLUE CROSS (01) | CT |
0533188 | AETNA (01) | |
060468 | CONNECTICARE (01) | CT |
061280198 | UNITED HEALTHCARE (01) | |
061280198003 | ALLIED HEALTH GROUP (01) | |
0744660001 | HEALTH NOW OF NEW YORK (01) | |
0P0501 | HEALTHNET (01) | |
480007333 | RAILROAD MEDICARE (01) | |
C14746 | RAILROAD MEDICARE (01) | |
HAS384 | ORTHONET/OXFORD (01) | |
T22554 | (02) |