Individual
NICOLE MARIE COSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 N CAROLINE ST, HERKIMER, NY 13350-1716
(315) 717-0264
(315) 717-0266
Mailing address
126 MANHATTAN AVE, ILION, NY 13357-5103
(315) 985-0831
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009641-1
NY
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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