Individual
KYLE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 323-4255
Mailing address
90 WOODSOME RD, BABYLON, NY 11702-3318
(631) 495-0085
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312351
NY
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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