Individual
GLEN ROBERT COSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7815 5TH AVE, BROOKLYN, NY 11209-3703
(718) 745-4422
(718) 745-8558
Mailing address
220 E 54TH ST APT 3C, NEW YORK, NY 10022-4838
(718) 745-4422
(718) 745-8558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36724
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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