| Mrs Merlyn Jacob Koshy, PA | |
|
600 Roe Avenue, Elmira, NY 14905-1629 | |
| (607) 737-4508 | |
| (607) 735-5738 |
| Full Name | Mrs Merlyn Jacob Koshy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 600 Roe Avenue, Elmira, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780082313 | NPI | - | NPPES |
| 103367085 | Medicaid | PA | |
| 04342201 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00351600 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | 018251 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Merlyn Jacob Koshy, PA 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Mrs Merlyn Jacob Koshy, PA 600 Roe Avenue, Elmira, NY 14905-1629 Ph: (607) 737-4508 |
Katie Lee Dieterle, RPA-C, AAHIVS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave Ste 1f, Elmira, NY 14905 Phone: 607-795-8161 Fax: 607-795-8115 | |
Caleb Dang, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 513 W Gray St, Elmira, NY 14905 Phone: 607-207-8537 | |
Kayleigh Mae Martin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-4508 Fax: 607-735-5738 | |
Mrs. Leann Fayne Shelmire, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 E Market St, Elmira, NY 14901 Phone: 607-737-7838 | |
Sean Raymond O'connor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-4508 Fax: 607-735-5738 | |
Angela K Drake, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1138 Broadway St, Elmira, NY 14904 Phone: 607-734-2695 Fax: 607-734-2917 | |
Mrs. Stephanie Lynn Busch, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 859 Broadway St, Elmira, NY 14904 Phone: 607-734-8179 Fax: 607-733-3893 |