Individual
DR. ANDREW JEROME KOSMOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11050 MT BELVEDERE BLVD, USA/MEDDAC/CREDENTIALS, FORT DRUM, NY 13602-5004
(315) 772-4025
(315) 772-9498
Mailing address
11050 MT BELVEDERE BLVD, USA MEDDAC ATTN:CREDENTIALS, FORT DRUM, NY 13602-5004
(315) 772-4025
(315) 772-9498
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200100158
NC
Other
Enumeration date
11/22/2005
Last updated
11/08/2012
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