Individual
DR. FELIXBERTO COSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 BRIGHAM RD, FREDONIA, NY 14063-1004
(716) 672-6673
Mailing address
50 BRIGHAM RD, FREDONIA, NY 14063-1004
(716) 672-6673
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
239319
NY
207RP1001X
Pulmonary Disease Physician
239319
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02375693
—
NY
Enumeration date
09/26/2006
Last updated
02/18/2021
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