National Provider Identifier
Merlyn Jacob Koshy, PA
Merlyn Jacob Koshy, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Elmira, NY and a listed phone number of (607) 737-4508.
Profile Overview
- NPI
- 1780082313
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 13, 2014
- Last Updated
- November 25, 2020
Practice Location
- 600 Roe Avenue
- Elmira, NY 14905-1629
Phone: (607) 737-4508
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1780082313
- Entity Type
- Individual
- Last Name
- Koshy
- First Name
- Merlyn
- Middle Name
- Jacob
- Name Prefix
- Mrs.
- Credential
- PA
- Provider Other Last Name
- Jacob
- Provider Other First Name
- Merlyn
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 600 Roe Avenue
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-4508
- Practice Fax
- (607) 735-5738
- Enumeration Date
- December 13, 2014
- Last Updated
- November 25, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 25, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 103367085 (PA), 04342201 (NY)