Individual
DR. PHILLIP J COSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 TODT HILL RD, STE 206, STATEN ISLAND, NY 10314
(718) 816-0034
(718) 727-3191
Mailing address
78 TODT HILL RD, STE 206, STATEN ISLAND, NY 10314
(718) 816-0034
(718) 727-3191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
161111
NY
207RP1001X
Pulmonary Disease Physician
Primary
161111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W6L821
GROUP MEDICARE ID
NY
Enumeration date
06/09/2006
Last updated
10/13/2011
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