Individual
JONATHAN COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 WESTERN AVE STE 102, ALBANY, NY 12203-3539
(518) 463-0050
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
316358
NY
Other
Enumeration date
04/06/2018
Last updated
06/12/2023
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