Individual
LYNDA COSARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4131 RICHMOND AVE, STATEN ISLAND, NY 10312-5633
(347) 671-7122
Mailing address
6 RODIO CT, SAYREVILLE, NJ 08872-2119
(929) 233-0095
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
06/03/2024
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