Individual
MRS. ANTONINA MARIE COSAMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
104 NEW HARTFORD SHOPPING CTR, NEW HARTFORD, NY 13413-1618
(315) 793-1878
(315) 793-1868
Mailing address
6116 MORRIS RD, MARCY, NY 13403-3311
(315) 794-7245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018507-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023150471
—
NY
Enumeration date
02/13/2007
Last updated
12/27/2018
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