Individual
BRENDA L KOSYDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CDE
Contact information
Practice address
40 ARCH ST, JOHNSON CITY, NY 13790-2102
(607) 763-6092
(607) 763-6677
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 770-0025
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
575063
NY
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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