Individual
MRS. DIANE M COZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 HIGH ST, BUFFALO, NY 14203-1149
(716) 857-8623
(716) 250-5907
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303508
NY
363LA2200X
Adult Health Nurse Practitioner
F303508-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02429216
—
NY
Enumeration date
10/20/2006
Last updated
04/04/2019
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