National Provider Identifier

Kostas N Botsoglou, M.D.

Kostas N Botsoglou, M.D. is listed in the NPPES registry with a primary specialty of Rheumatology Physician in Cheektowaga, NY and a listed phone number of (877) 991-1889.

NPI 1295981652Cheektowaga, NYRheumatology Physician

Profile Overview

NPI
1295981652
Provider Type
Individual
Primary Specialty
Rheumatology Physician
Enumeration Date
August 15, 2008
Last Updated
January 17, 2024

Practice Location

  • 2475 Harlem RD
  • Cheektowaga, NY 14225-4558

Phone: (877) 991-1889

Specialties

  • Rheumatology Physician (207RR0500X)
  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1295981652
Entity Type
Individual
Last Name
Botsoglou
First Name
Kostas
Middle Name
N
Credential
M.D.
Provider Other Last Name
Botsoglou
Provider Other First Name
Kosta
Provider Other Credential Text
M.D.
Provider Other Last Name Type Code
5
Mailing Street Address
2475 Harlem RD
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4558
Mailing Country
US
Practice Street Address
2475 Harlem RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4558
Practice Country
US
Practice Phone
(877) 991-1889
Enumeration Date
August 15, 2008
Last Updated
January 17, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
January 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Rheumatology Physician (207RR0500X), Internal Medicine Physician (207R00000X)