Provider Demographics
NPI:1063697027
Name:TOSHKOFF, RADOSLAV (DO)
Entity type:Individual
Prefix:
First Name:RADOSLAV
Middle Name:
Last Name:TOSHKOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 MEMORIAL HWY
Mailing Address - Street 2:SUITE 1-2
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5635
Mailing Address - Country:US
Mailing Address - Phone:914-633-6375
Mailing Address - Fax:914-633-6359
Practice Address - Street 1:175 MEMORIAL HWY
Practice Address - Street 2:SUITE 1-2
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5635
Practice Address - Country:US
Practice Address - Phone:914-633-6375
Practice Address - Fax:914-633-6359
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246638207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology