Individual
DEBORAH COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
3375 PARK AVE, SUITE 3007, WANTAGH, NY 11793-3733
(516) 785-5544
(515) 785-5570
Mailing address
3375 PARK AVE, SUITE 3007, WANTAGH, NY 11793-3733
(516) 785-5544
(515) 785-5570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F400581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02154736
—
NY
Enumeration date
04/24/2009
Last updated
04/24/2009
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