Individual
KELSEY ELIZABETH COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 NYS ROUTE 17M, GOSHEN, NY 10990
(845) 458-8661
Mailing address
7 SUNSET TER, WARWICK, NY 10990-2143
(845) 545-0989
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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