Organization
CNY ASTHMA & ALLERGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D COSACHOV DO (PHYSICIAN PRESIDENT)
(315) 252-9562
Entity
Organization
Contact information
Practice address
37 WEST GARDEN ST, SUITE 206, AUBURN, NY 13021
(315) 252-9562
(315) 255-3872
Mailing address
37 WEST GARDEN ST, SUITE 206, AUBURN, NY 13021
(315) 252-9562
(315) 255-3872
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02225345
—
NY
01
—
46981
MVP
NY
01
—
G0185031060
BLUE CHOICE
NY
Enumeration date
11/09/2006
Last updated
08/03/2021
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