Individual
COSSETTE LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1050 OLD NICHOLD RD, ISLANDIA, NY 11749-5026
(631) 646-2433
(631) 249-1793
Mailing address
PO BOX 1359, MELVILLE, NY 11747-0308
(631) 249-0011
(631) 249-1793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
053737
NY
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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