Provider Demographics
NPI:1326205790
Name:COSKUN, EMILY KATE (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KATE
Last Name:COSKUN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:147 MILK ST
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:617-559-8367
Mailing Address - Fax:617-421-3487
Practice Address - Street 1:133 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-1020
Practice Address - Fax:617-421-1063
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2013-12-24
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Provider Licenses
StateLicense IDTaxonomies
MA2493682084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA002778501Medicare PIN