Individual
COSIMO JOHN FERRARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 PARK ST, MALONE, NY 12953-1251
(518) 483-2578
(518) 483-7266
Mailing address
134 PARK ST, MALONE, NY 12953-1251
(518) 483-2578
(518) 483-7266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
191957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01461090
—
NY
Enumeration date
06/23/2006
Last updated
07/08/2007
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