Individual
DR. PAUL R COSENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
651 N WELLWOOD AVE, LINDENHURST, NY 11757-1635
(631) 226-2020
(631) 226-7371
Mailing address
651 N WELLWOOD AVE, LINDENHURST, NY 11757-1635
(631) 226-2020
(631) 226-7371
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004106-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880442
—
NY
Enumeration date
09/15/2005
Last updated
03/11/2014
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