Individual
DR. DANILO GONZALES COSICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 SARAH CT, ALBANY, NY 12205-3731
(518) 452-8708
Mailing address
22 SARAH CT, ALBANY, NY 12205-3731
(518) 452-8708
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
115589
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00632059
—
NY
Enumeration date
03/23/2006
Last updated
06/19/2008
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