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Individual

TINA MARIE COSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
999 MONTAUK HWY STOP MONTAUK, SHIRLEY, NY 11967-2130
(631) 399-6992
(631) 399-8045
Mailing address
999 MONTAUK HWY STOP MONTAUK, SHIRLEY, NY 11967-2130
(631) 399-6992
(631) 399-8045

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010447-01
NY

Other

Enumeration date
04/29/2022
Last updated
04/29/2022
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