Individual
MR. CHARLES COSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
5959 BIG TREE RD STE 108, ORCHARD PARK, NY 14127-2291
(716) 204-3200
Mailing address
425 ADIOS CT, CARMEL, IN 46032-1090
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
304434
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2015
Last updated
10/05/2020
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