Individual
CHRISTINE COSMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 W WENDELL ST, ENDICOTT, NY 13760-3945
(607) 222-0316
Mailing address
635 W WENDELL ST, ENDICOTT, NY 13760-3945
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00272600
NJ
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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