Individual
CHUKYM COSSETTE ALEXIS-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
27 NORTH ST, MIDDLETOWN, NY 10940-5012
(845) 342-3900
Mailing address
2570 ROUTE 9W STE 10, CORNWALL, NY 12518-1370
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
050949-1
NY
1223G0001X
General Practice Dentistry
Primary
050949
NY
Other
Enumeration date
10/10/2006
Last updated
02/24/2025
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