Individual
DR. GINA MARIA COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6 CHELSEA PL STE 202, CLIFTON PARK, NY 12065-3236
(518) 982-1886
(518) 734-0276
Mailing address
50 MICHELLE DR, CLIFTON PARK, NY 12065-1670
(518) 373-8944
(518) 346-0783
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014580
NY
103TC2200X
Clinical Child & Adolescent Psychologist
014580
NY
Other
Enumeration date
05/17/2007
Last updated
10/04/2018
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