Lara Denyse Kosar

Primary specialty

SpecialistTaxonomy code 174400000X

License

737151131 Issued in NY

Practice address

10 Bethany Dr
Commack, NY 11725-1609

Phone

(516) 474-1290

NPI assigned

Jul 27, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1548645955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BETHANY DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251609",
            "telephone_number": "516-474-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BETHANY DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251609",
            "telephone_number": "516-474-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSAR",
        "first_name": "LARA",
        "middle_name": "DENYSE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "737151131",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "716623131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minjeong Julianne Koo, R.N.
• Zamir Korn, PH.D.
• Jacquelyn Sue Kornblatt
• George Korologos, D.D.S.
• Ramak Korouei, DPT
• Nicoleta V Koschack, NP
• Suzanne Michelle Koster, PT, DPT
• Beth Koven, PHARMD
• Melissa Koziatek, NP-C
• Sarah Kramer

• Specialist in Commack, NY
• Providers in Commack, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.