Individual
ANDREW COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13531 122ND PL, SOUTH OZONE PARK, NY 11420-3723
(718) 313-8018
Mailing address
13531 122ND PL, SOUTH OZONE PARK, NY 11420-3723
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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