Individual
SUSAN HEATHER COSIMINI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PARK AVE, PORTSMOUTH, RI 02871-4317
(401) 447-6601
Mailing address
65 PARK AVE, PORTSMOUTH, RI 02871-4317
(401) 447-6601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ISW02044
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NO NUMBER YET
RI
01
—
00000
NO NUMBER YET
RI
Enumeration date
07/03/2020
Last updated
07/03/2020
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