Individual
DR. MARIA EMILY COSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BRIGHAM RD, FREDONIA, NY 14063-1004
(716) 672-6673
Mailing address
50 BRIGHAM RD, FREDONIA, NY 14063-1004
(716) 672-6673
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
239552
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02209598
—
NY
Enumeration date
09/26/2006
Last updated
07/08/2007
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