Individual
JUAN SAMUEL COSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
968 CAULDWELL AVE, BRONX, NY 10456-6804
(347) 218-1730
Mailing address
3065 ROBERTS AVE, BRONX, NY 10461-5141
(347) 218-1730
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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