Individual
IRMA COSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0001
(814) 452-5000
Mailing address
4119 NANCY AVE, ERIE, PA 16510-3656
(814) 315-7596
(814) 315-7596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066653
PA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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