Individual
DR. CONSTANCE A COZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2405 GENESEE ST, UTICA, NY 13501-6214
(315) 798-9788
(315) 798-9766
Mailing address
2405 GENESEE ST, UTICA, NY 13501-6214
(315) 798-9788
(315) 798-9766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
222904 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00931237
—
NY
05
—
02194250
—
NY
01
—
050081858
PALMETTO
NY
01
—
060504000012
FIDELIS
NY
01
—
10062293
CDPHP
NY
01
—
11315791
CAQH
—
01
—
207045400
US DEPT OF LABOR
NY
01
—
2138895
UNITED HEALTHCARE
NY
01
—
361178
MVP
NY
Enumeration date
11/03/2005
Last updated
10/26/2010
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