Individual
SUZETTE COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 ADELPHI ST, BROOKLYN, NY 11205-4601
(718) 858-6291
Mailing address
100 ROEBLING ST, BROOKLYN, NY 11211-3478
(631) 691-9883
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
950554151
NY
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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