National Provider Identifier
Martin Ryan Koslosky, PT
Martin Ryan Koslosky, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 874-2759.
Profile Overview
- NPI
- 1194978874
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 28, 2008
- Last Updated
- October 28, 2008
Practice Location
- 2625 Delaware Ave
- Buffalo, NY 14216-1705
Phone: (716) 874-2759
Mailing Address
- 57C Park Club Ln
- Williamsville, NY 14221-5201
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1194978874
- Entity Type
- Individual
- Last Name
- Koslosky
- First Name
- Martin
- Middle Name
- Ryan
- Credential
- PT
- Mailing Street Address
- 57C Park Club Ln
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5201
- Mailing Country
- US
- Mailing Phone
- (716) 308-4875
- Practice Street Address
- 2625 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-1705
- Practice Country
- US
- Practice Phone
- (716) 874-2759
- Practice Fax
- (716) 874-2913
- Enumeration Date
- October 28, 2008
- Last Updated
- October 28, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)