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Individual

JOHN COSGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
622 W 168TH ST, PRESBYTERIAN HOSPITAL, 11TH FLOOR- CENTER WING, NEW YORK, NY 10032-3720
(646) 317-5162
Mailing address
622 W 168TH ST, PRESBYTERIAN HOSPITAL, 11TH FLOOR- CENTER WING, NEW YORK, NY 10032-3720
(646) 317-5162
(212) 305-4040

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2000017672
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000017672
ATC
NY
Enumeration date
12/13/2016
Last updated
12/13/2016
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