# HEALTHSOURCE OF HORNELL PROGRESSIVE CHIROPRACTIC REHABILITATION, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700157013
- **Authorized official:** DR. SUSAN J COSGROVE D.C. (CHIROPRACTOR/ OWNER)
- **Authorized official phone:** (607) 324-2444

## Contact information

- **Practice address:** 340 CLEVELAND AVE, HORNELL, NY 14843-1004
- **Practice address phone:** (607) 324-2444
- **Practice address fax:** (607) 324-2524
- **Mailing address:** PO BOX 358, HORNELL, NY 14843-0358
- **Mailing address phone:** (607) 324-2444
- **Mailing address fax:** (607) 324-2524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X0028931 | NY | Yes |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 07/19/2012