Individual
ANDREW COSENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
2595 MAIN ST, STRATFORD, CT 06615-5855
(203) 345-0404
(203) 908-4110
Mailing address
2595 MAIN ST, STRATFORD, CT 06615-5855
(203) 345-0404
(203) 908-4110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12566
CT
363LA2200X
Adult Health Nurse Practitioner
12566
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
12566
CT
Other
Enumeration date
11/22/2023
Last updated
04/23/2026
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